Edorium Journal of

Orthopedics

 
     
Case Report
 
A novel technique for treatment of a pathological fracture in a distal humerus using combined interlocking custom shoulder and elbow arthroplasty
Mohamed Hafez1, Ian A Trail2
1MSc, MRCS, FRCS Upper limb fellow, upper limb unit, Wrightington, Wigan, UK
2MD FRCS, Consultant upper limb upper limb unit, Wrightington, Wigan, UK

Article ID: 100006O03MH2017
doi:10.5348/O03-2017-6-CR-2

Address correspondence to:
Mohamed Hafez
Abergavenny
United Kingdom

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How to cite this article
Hafez M, Trail IA. A novel technique for treatment of a pathological fracture in a distal humerus using combined interlocking custom shoulder and elbow arthroplasty. Edorium J Orthop 2017;3:13–16.


ABSTRACT

There is no uniform plan for the management of patients with metastatic lesions within the humerus. Any plan has to be tailored to each individual patient due to a variety of factors, including the clinical presentation, stage of disease, general condition, together with the skills and resources of the clinical team. Satisfactory management requires a multidisciplinary team approach, including an orthopedic surgeon, medical oncologist, radiation oncologist, pathologist and other support services. We report a case of a multiple tumor metastasis within the humerus, complicated by a pathological fracture of the distal humerus, treated with a combined ipsilateral shoulder and elbow arthroplasty using a custom interlocking prosthesis. The postoperative course was uneventful and the patient showed excellent functional and clinical improvement.


Keywords: Combined shoulder elbow replacement, Humerus tumors, Pathological fracture


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Author Contributions
Mohamed Hafez – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ian A. Trail – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Mohamed Hafez et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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