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April 18, 2026JBJS Case Connector0 citations

Twelve-Year Follow-up of Osteochondral Allograft Transplant in Management of Gunshot Wound to Lateral Distal Femoral Condyle

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SDSanjna DasJRJordan RobbinsAAAnimesh Agarwal

Key Points

  • To describe the long-term outcomes of using an osteochondral allograft for knee repair after a gunshot injury.
  • Documented medical history of the patient
  • Performed osteochondral allograft transplantation
  • Follow-up assessment over 12 years
  • Graft viability maintained at 12 years post-surgery
  • Patient retained range of motion in the knee joint
  • Functional leg performance observed throughout the follow-up period

Abstract

Case: This report describes a now 29-year-old woman who at age 16 sustained an accidental gunshot wound involving a handgun (caliber unknown) to the right knee resulting in a 3.0 × 2.6 cm defect of the lateral femoral condyle. She underwent fixation using an osteochondral allograft (OCA) with continued graft viability and preserved range of motion at 12 years following surgery. Conclusion: This is a unique case of a large, traumatic lateral femoral condyle defect repaired with OCA in an adolescent who demonstrated functionality and viability over 12-year follow up.

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Cite This Study

Das et al. (2026) studied this question.

synapsesocial.com/papers/69e3216540886becb6540a9ehttps://doi.org/10.2106/jbjs.cc.26.00005
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