Introduction And Importance: Denosumab is used as a neoadjuvant therapy for giant cell tumours (GCT) prior to surgery to improve surgical clearance and reduce the rate of recurrence. However, the use of denosumab as adjuvant therapy following an external fixator for GCT of the distal radius has not been commonly described. We describe the use of adjuvant denosumab following curettage and external fixation in a patient with GCT of the distal radius presenting with a pathological fracture.
View Article and Find Full Text PDFIntroduction And Importance: Tom Smith arthritis (TSA) is a pyogenic arthritis of the hip joint that occurs in infancy and has considerable morbidity. Reports on surgical management of severe hip dysplasia in adulthood secondary to TSA are extremely limited. We describe a patient who successfully underwent a bilateral total hip arthroplasty for the severely damaged hip joints secondary to TSA with satisfactory functional outcomes.
View Article and Find Full Text PDFIntroduction And Importance: The ideal treatment of proximal humerus fracture remains a controversial topic, especially in the case of complex multi-fragmentary fractures. However, in limited resource settings, alternative less complicated fixation may be considered in highly selected patients without compromising the functional outcome. We report a case of successful treatment with k-wire fixation with satisfactory functional outcome.
View Article and Find Full Text PDFBackground: Melioidosis-associated peri-prosthetic infection is extremely rare. To date, melioidosis associated septic arthritis of the ankle joint following a medial malleolar internal fixation has not been reported.
Case Presentation: We describe a 49-year-old male with a history of long standing diabetes who presented with fever, constitutional symptoms and right ankle pain for 1 week.