Reconstruction of the distal humerus in non-united and improperly fused intra-articular fractures using periosteal-cortical autografts on a vascular pedicle

Method of reconstruction of distal humerus in ununited and incorrectly consolidated intraarticular fractures was presented. There were 4 patients. To achieve successful reposition of fragments and the restoration of congruence of the articular surfaces, reduction of replaced fragments with correction osteotomy (1 patients) was required. Vascularized periosteal-cortical radius autograft rotated on a vascular pedicle was used as a source of osteogenesis. Radiologic signs of consolidation were noted by 810 weeks. Function of the reconstructed joint meets the requirements of the professional and everyday needs of patient.