Reconstruction of lateral trochlear defect with radial head autograft.

A novel procedure has been developed to address severe fractures of the lateral trochlea and capitellum when open reduction and internal fixation is not practical and patient factors preclude the use of total elbow arthroplasty. We present 3 patients in whom an ipsilateral radial head autograft was used to reconstruct the lateral trochlea, restoring both function and stability of the elbow.