Massive allograft of the femoral condyle following ballistic trauma to the knee: a technical note.

Conservative management of traumatic bone defects of the distal femoral epiphysis presents a surgical challenge. Implant placement in the acute phase carries a significant risk of septic complications, joint stiffness, and early loosening; therefore, it is not an ideal treatment option for these patients, who are often young and have high functional demands. The use of a massive osteochondral allograft is a demanding alternative that requires obtaining a graft of appropriate size, but it allows for the restoration of a satisfactory joint contour with good functional outcomes in the medium term.