Staged Reconstruction for Humeral Osteomyelitis after Severe Crush Injury of the Shoulder: A Case Report

Autor: Kow RY, Mohd-Yusof N, Abas MF, Low CL
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Malaysian Orthopaedic Journal, Vol 16, Iss 2, Pp 140-144 (2022)
Druh dokumentu: article
ISSN: 1985-2533
2232-111X
DOI: 10.5704/MOJ.2207.020
Popis: 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.
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