Radial Forearm Wrapped-around Iliac Graft: Alternative Option for Thumb Reconstruction
Journal Title: Malaysian Orthopaedic Journal - Year 2011, Vol 5, Issue 1
Abstract
We present a case in which a patient with well-differentiated squamous cell carcinoma of the dominant thumb underwent resection at the level of metacarpo-phalangeal joint and primary reconstructive surgery using a tricortical iliac bone graft with radial forearm wrapped-around pedicle flap. This single stage resection and reconstructive procedure was simple and relatively easy to perform, without the need for microsurgical expertise. Detailed surgical procedures and excellent functional result are described.
Authors and Affiliations
A Shahrulazua, WI Faisham, MZ Norazman, W Zulmi
Risk of Axillary Nerve Injury in Standard Anterolateral Approach of Shoulder: Cadaveric Study
Introduction: The anterolateral acromion approach of the shoulder is popular for minimally invasive plate osteosynthesis (MIPO) technique. However, there are literatures describing the specific risks of injury of the axi...
Case Report: Total Hip Replacement for Recurrent Histiocytosis X of the Pelvis Involving the Hip Joint
In 1977, a female patient, aged 31y, presented with histiocytosis X in the right pelvis and was treated with radiotherapy. She presented again in 1999 at the age of 53y with a similar problem at the same location this ti...
Economic Impact of Managing Acute Diabetic Foot Infection in a Tertiary Hospital in Malaysia
Diabetic foot disease is the leading cause of non-traumatic amputations of the lower limb, hence a major health care and socioeconomic burden. It has been found that most of the costs occur in the inpatient setting; ther...
Acute Paraplegia in a Toddler: A Diagnostic Journey Compounding the Challenge in Management: A Case Report
Spinal tuberculosis is not common in the paediatric age group. Initial clinical features are often vague and non specific until the disease progresses to later stages. We highlight the diagnostic difficulties and managem...
Fibula Osteocutaneous Flap for Mandible Reconstruction after Ameloblastoma Resection: Amending Technique to Reduce Ischaemic Time
A 27-year-old patient with ameloblastoma of the mandible underwent anterior mandibulectomy and reconstruction with left fibula osteocutaneous flap. The bone was shaped at the lower limb before cutting the pedicle. Vascul...