2.A Rare Case Of Recurrent Squamous Cell Carcinoma Of Thumb Nail Bed: A Case Report
Mohd Kamel MJ ; Kamel MJ ; Sahran Y ; Hanifah J ; Faisham WI
Malaysian Orthopaedic Journal 2019;13(Supplement A):166-
5.LONG-TERM FOLLOW-UP OF GIANT CELL TUMOUR (GCT) WITH PULMONARY METASTASES
Rajaei AMZ ; Sahran Y ; MZ Nor Azman ; Zulmi Wan ; BM Biswal ; WI Faisham
Malaysian Orthopaedic Journal 2019;13(Supplement A):22-
6.Iliac Telangiectatic Osteosarcoma - A Rare Presentation and Diagnostic Pitfall: A Case Report
Khaw YC ; Wong JK ; Sahran Y ; Nor-Azman MZ ; Faisham W
Malaysian Orthopaedic Journal 2020;14(No.3):198-201
Telangiectatic osteosarcoma is a rare variant of osteosarcoma
and can be easily misdiagnosed as aneurysmal bone cyst. We
report an atypical case of iliac telangiectatic osteosarcoma in
a young healthy female, who presents with painful slow
growing expansile lytic septate lesion in the left hemipelvis,
which is initially treated as aneurysmal bone cyst. The
diagnosis of aneurysmal bone cyst is made after
histopathological examination of core needle biopsy. Her
condition became unstable and massive bleeding is noted at
the lesion site after sclerosant injection. She undergoes
emergency hemipelvectomy and eventually the biopsy turns
up to be telangiectatic osteosarcoma. Our case highlights that
core needle biopsy is not useful in making diagnosis for iliac
telangiectatic carcinoma. Hence, an open biopsy should be
carried out in our case.
This case also emphasises on careful evaluation for
malignancy which is mandatory because bleeding from
pelvis after an unsuitable treatment can be grave, to the
extent that major amputation hemipelvectomy is an option.
Even though telangiectatic osteosarcoma has the same
prognosis and treatment with conventional osteosarcoma, the
outcome of delayed treatment for telangiectatic
osteosarcoma is not good due to the dilemma in establishing
an early correct diagnosis.
7.Tricortical Illiac Graft In Complex Bicolumnar Acetabulum Fracture- A Case Report
Ganapathy S ; Savarirajo JC ; Jufithri AH ; Hadizie D ; Sahran Y ; Wan Faisham WI
Malaysian Orthopaedic Journal 2019;13(Supplement A):304-
9.Long-term Outcome of Total Femur Replacement
Adzhar AL ; Faisham WI ; Zulmi W ; Azman WS ; Sahran Y ; Syurahbil AH ; Nor-Azman MZ
Malaysian Orthopaedic Journal 2023;17(No.2):21-27
Introduction: Total femur replacement is an option instead
of amputation for extensive bone tumour or after revision
surgery with a massive bone loss. Over a long period of time
the patients may need revision surgery, and this might affect
the functional outcome. We reviewed all consecutive total
femur replacements done for primary and revision surgery of
primary bone tumours in our centre to evaluate the long-term
functional outcome and survival.
Materials and methods: All patients who had total femur
resection and reconstruction with modular endoprosthesis
replacement in our centre from June 1997 to May 2022 were
reviewed. The respondents were surveyed through
WhatsApp using google form which was translated into
Bahasa Malaysia based on the Musculoskeletal Tumour
Society Scoring System (MSTS). The data were presented as
descriptive data on the final survival of the limb and
prosthesis.
Results: Ten patients underwent total femur replacement.
There were eight osteosarcoma, one giant cell tumour and
one chondromyxoid fibroma. Three patients with
osteosarcoma succumbed to pulmonary metastases; all had
good early post-operative functional outcomes without local
recurrence. Seven patients were available for long term
evaluation of function with a mean follow-up of 17.6 years
(ranged 10-25 years). Four patients with total femur
replacement had good functional outcomes (60-80%)
without revision with 10-25 years follow-up. Three patients
experienced acetabulum erosion and chronic pain that
required early hip replacements. Two of them were
complicated with superior erosions and bone loss and
subsequently were managed with massive reconstruction
using cemented acetabulum cage reconstruction. The other
has diabetes mellitus with chronic infection following
revision of distal femur endoprosthesis to total femur
replacement and subsequently underwent limited
hemipelvectomy after 14 years.
Conclusion: Total femur replacement offers a good long
term functional outcome and prosthesis survival and is a
favourable option for limb salvage surgery.