Staged Reconstruction for Humeral Osteomyelitis after Severe Crush Injury of the Shoulder: A Case Report
https://doi.org/10.5704/MOJ.2207.020
- Author:
Kow RY
1
;
Mohd-Yusof N
1
;
Abas MF
2
;
Low CL
3
Author Information
1. Department of Orthopaedics, Traumatology and Rehabilitation, International Islamic University Malaysia, Kuantan, Malaysia
2. Department of Plastic Surgery, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia
3. Department of Radiology, International Islamic University Malaysia, Kuantan, Malaysia
- Publication Type:Journal Article
- Keywords:
humerus, osteomyelitis, reconstruction, upper limb, crush injury
- From:Malaysian Orthopaedic Journal
2022;16(No.2):140-144
- CountryMalaysia
- Language:English
-
Abstract:
The incidence of humeral osteomyelitis is relatively rare as
compared to incidence of lower limb osteomyelitis. Despite
having no guideline in the management of humeral
osteomyelitis, surgeons have utilised their experience in
managing lower limb osteomyelitis to treat humeral
osteomyelitis. By adhering to principles including thorough
debridement of necrotic bone and soft tissue, staged bony
and/or soft tissue reconstruction, and targeted antimicrobial
therapy, a good outcome can be achieved in the management
of humeral osteomyelitis. We report a case of Cierny-Mader
type IV proximal humeral osteomyelitis after a severe crush
injury of the left shoulder and its subsequent two-stage
reconstruction using internal fixation and pedicled
Latissimus dorsi musculocutaneous flap.
- Full text:16.2022my1262.pdf
