What question did this study set out to answer?

To report on a novel approach for reconstructing the distal radius after infection.

February 26, 2026Open Access

Salvage articular reconstruction of the distal radius using a 3D simulation-guided distal clavicle osteochondral autograft after fracture-related infection: A case report

WSWhee Sung SonYeungnam University Medical Center

Key Points

To report on a novel approach for reconstructing the distal radius after infection.
Articular reconstruction using a distal clavicle osteochondral autograft.
Guided by 3D simulation and 3D-printing techniques.
Concomitant reconstruction of the palmar radiocarpal ligament with the acromioclavicular joint capsule.
Achieved full functional recovery of the distal radius.
Successful application of osteochondral graft from the distal clavicle.
First documented case of this method following a fracture-related infection.

Abstract

A male patient developed a severe articular defect of the distal radius following treatment for fracture-related infection caused by methicillin-resistant Staphylococcus aureus . Full functional recovery was achieved with articular reconstruction using a distal clavicular osteochondral autograft guided by three-dimensional (3D) simulation and 3D-printing, with concomitant palmar radiocarpal ligament reconstruction using the acromioclavicular joint capsule. • First case report on articular reconstruction after fracture-related infection. • Successful distal radius articular reconstruction using distal clavicle graft. • Osteochondral graft using acromioclavicular (AC) joint cartilage. • Also used AC joint capsule for palmar radiocarpal ligament reconstruction.

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