Infected nonunion proximal humerus fracture: two-stage oncologic approach solution with reverse total shoulder reconstruction
Introduction: Infected non-union of proximal humerus after fixation is devastating consequence and remains challenging. Methods: The staged oncologic approach consists of wide resection and reconstruction ensures remissions of the infection. Results: We report a case of two-stage oncologic approach...
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Kulliyyah of Medicine, International Islamic University Malaysia
2016
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iium-640282018-07-02T01:08:31Z http://irep.iium.edu.my/64028/ Infected nonunion proximal humerus fracture: two-stage oncologic approach solution with reverse total shoulder reconstruction Siron @ Baharom, Khairul Nizam Goh, Kian Liang Sharifudin, Mohd Ariff Mor Japar Khan, Ed Simor Khan Noor Rahin, Mohd. Shahidan Nik Mohd Najmi, Nik Mohd Fatmy Che Ahmad, Aminudin Mohamed Amin, Mohamed Azril RD701 Orthopedics Introduction: Infected non-union of proximal humerus after fixation is devastating consequence and remains challenging. Methods: The staged oncologic approach consists of wide resection and reconstruction ensures remissions of the infection. Results: We report a case of two-stage oncologic approach in a patient with infected non-union proximal humerus after fixation. In the first stage we have performed a wide resection and antibiotic cement spacer insertion. After complete eradication of infection, subsequent reconstruction of the shoulder using reverse shoulder replacement with modular humeral stem had been performed on purpose of restoring the acceptable joint functions. Conclusions: Reconstruction of the infected non-union of the proximal humerus is a challenging task, costly procedure that requires the use of the sophisticated limb reconstruction system. Staged approach incorporating the use oncologic wide resection to eradicate the infection with subsequent bony reconstruction ensure the optimum restoration of upper limb functions. Kulliyyah of Medicine, International Islamic University Malaysia 2016-11-10 Article PeerReviewed application/pdf en http://irep.iium.edu.my/64028/1/64028_Infected%20nonunion%20proximal%20humerus%20fracture.pdf Siron @ Baharom, Khairul Nizam and Goh, Kian Liang and Sharifudin, Mohd Ariff and Mor Japar Khan, Ed Simor Khan and Noor Rahin, Mohd. Shahidan and Nik Mohd Najmi, Nik Mohd Fatmy and Che Ahmad, Aminudin and Mohamed Amin, Mohamed Azril (2016) Infected nonunion proximal humerus fracture: two-stage oncologic approach solution with reverse total shoulder reconstruction. The International Medical Journal Malaysia, 15 (Supp. 1). p. 83. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/Volume%2015%20Supplement/MRS2016-ABSTRACT-BOOK-83.pdf |
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RD701 Orthopedics |
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RD701 Orthopedics Siron @ Baharom, Khairul Nizam Goh, Kian Liang Sharifudin, Mohd Ariff Mor Japar Khan, Ed Simor Khan Noor Rahin, Mohd. Shahidan Nik Mohd Najmi, Nik Mohd Fatmy Che Ahmad, Aminudin Mohamed Amin, Mohamed Azril Infected nonunion proximal humerus fracture: two-stage oncologic approach solution with reverse total shoulder reconstruction |
description |
Introduction: Infected non-union of proximal humerus after fixation is devastating consequence and remains challenging. Methods: The staged oncologic approach consists of wide resection and reconstruction ensures remissions of the infection. Results: We report a case of two-stage oncologic approach in a patient with infected non-union proximal humerus after fixation. In the first stage we have performed a wide resection and antibiotic cement spacer insertion. After complete eradication of infection, subsequent reconstruction of the shoulder using reverse shoulder replacement with modular humeral stem had been performed on purpose of restoring the acceptable joint functions. Conclusions: Reconstruction of the infected non-union of the proximal humerus is a challenging task, costly procedure that requires the use of the sophisticated limb reconstruction system. Staged approach incorporating the use oncologic wide resection to eradicate the infection with subsequent bony reconstruction ensure the optimum restoration of upper limb functions. |
format |
Article |
author |
Siron @ Baharom, Khairul Nizam Goh, Kian Liang Sharifudin, Mohd Ariff Mor Japar Khan, Ed Simor Khan Noor Rahin, Mohd. Shahidan Nik Mohd Najmi, Nik Mohd Fatmy Che Ahmad, Aminudin Mohamed Amin, Mohamed Azril |
author_facet |
Siron @ Baharom, Khairul Nizam Goh, Kian Liang Sharifudin, Mohd Ariff Mor Japar Khan, Ed Simor Khan Noor Rahin, Mohd. Shahidan Nik Mohd Najmi, Nik Mohd Fatmy Che Ahmad, Aminudin Mohamed Amin, Mohamed Azril |
author_sort |
Siron @ Baharom, Khairul Nizam |
title |
Infected nonunion proximal humerus fracture: two-stage oncologic approach solution with reverse total shoulder reconstruction |
title_short |
Infected nonunion proximal humerus fracture: two-stage oncologic approach solution with reverse total shoulder reconstruction |
title_full |
Infected nonunion proximal humerus fracture: two-stage oncologic approach solution with reverse total shoulder reconstruction |
title_fullStr |
Infected nonunion proximal humerus fracture: two-stage oncologic approach solution with reverse total shoulder reconstruction |
title_full_unstemmed |
Infected nonunion proximal humerus fracture: two-stage oncologic approach solution with reverse total shoulder reconstruction |
title_sort |
infected nonunion proximal humerus fracture: two-stage oncologic approach solution with reverse total shoulder reconstruction |
publisher |
Kulliyyah of Medicine, International Islamic University Malaysia |
publishDate |
2016 |
url |
http://irep.iium.edu.my/64028/ http://irep.iium.edu.my/64028/ http://irep.iium.edu.my/64028/1/64028_Infected%20nonunion%20proximal%20humerus%20fracture.pdf |
first_indexed |
2023-09-18T21:30:48Z |
last_indexed |
2023-09-18T21:30:48Z |
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1777412497556373504 |