Reconstruction of complex distal humeral bone loss with osteoarticular massive allograft, latissimus dorsi flap, and ligament–tendon allograft reconstruction: a technical note

Massive post-traumatic bone loss of the distal humerus remains a challenging condition. We describe a one-stage reconstruction technique combining an osteoarticular allograft with a pedicled latissimus dorsi flap for simultaneous bone and soft-tissue reconstruction. Two patients with ballistic injuries achieved bone union and functional elbow motion at 12 months. This single-stage approach may represent a reliable reconstructive option for complex distal humeral defects in young and active patients, avoiding the mechanical complications associated with arthroplasties.