On-line version ISSN 2309-8309
Print version ISSN 1681-150X
SA orthop. j. vol.8 n.3 Pretoria Jan. 2009
R BhagaI; AA AdenII
IMBBCh; Registrar. Department of Orthopaedics, University of Witwatersrand, Helen Joseph Hospital, Johannesburg, South Africa
IIFCS(SA)Orth; Senior Consultant. Department of Orthopaedics, University of Witwatersrand, Helen Joseph Hospital, Johannesburg, South Africa
Proximal humeral allografts are usually reserved for reconstruction of the shoulder in a neoplastic setting.
To our knowledge it has never been described for use in a trauma setting.
In this case report, we present a 30-year-old man involved in a motor vehicle accident (MVA) in 2007. He is right-hand dominant and employed as a driver. He presented initially to a peripheral hospital, and he sustained what seems to be a right floating shoulder injury with clavicle, scapula and proximal humeral fractures. He was operated there and underwent excision of the proximal humerus.
Subsequently he presented to us and a staged procedure was performed. Initially, the clavicle was plated and, six weeks later, he underwent reconstruction with a proximal humeral allograft. All rotator cuff muscles were re-attached and the allograft was secured with cement and an intramedullary nail.
We present his pre-op and post-op pictures as well as the function achieved. We also present a brief review of the literature.
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Dr R Bhaga
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