Technical Challenges and Morbidity Associated With Removal of an IlluminOss Implant From a Humeral Shaft: A Case Report.
Journal
JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828
Informations de publication
Date de publication:
01 Oct 2024
01 Oct 2024
Historique:
medline:
1
11
2024
pubmed:
1
11
2024
entrez:
31
10
2024
Statut:
epublish
Résumé
A 77-year-old man experienced acute failure of fixation of his humeral shaft fracture after fixation with IlluminOss photodynamic system stabilization (Photodynamic Bone Stabilization System [PBSS]). Owing to the well-fixed IlluminOss PBSS implant to the humeral intramedullary canal, complete removal was deemed not indicated. Partial implant removal and revision open reduction internal fixation with a proximal humerus plate was performed. However, this was complicated by recalcitrant deep hardware infection that failed multiple surgical debridements, requiring eventual humeral osteotomy to remove the remainder of the infected IlluminOss PBSS implant. This is one of the first articles highlighting the technical challenges and morbidity associated with removal of an IlluminOss PBSS.
Identifiants
pubmed: 39480972
doi: 10.2106/JBJS.CC.24.00231
pii: 01709767-202412000-00023
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.
Déclaration de conflit d'intérêts
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C468).
Références
Gausepohl T, Pennig D, Heck S, Gick S, Vegt PA, Block JE. Effective management of bone fractures with the IlluminOss® photodynamic bone stabilization system: initial clinical experience from the European union registry. Orthop Rev (Pavia). 2017;9(1):6988.
Krumme J, MacConnell A, Wallace M, Aboulafia A, Jelinek J, Adams B, Henshaw R. Early experience in pathologic humerus fracture treated with the photodynamic bone stabilization system shows limitations related to patient selection. Orthopedics. 2021;44(3):154-9.
Kucharik MP, Andrews R, John MP, Ohanisian L, Sullivan A, Chebli C. Operative fixation of a humeral shaft periprosthetic fracture after IlluminOss: a case report. JBJS Case Connector. 2023;13(4):e23.00136.
Perisano C, Greco T, Fulchignoni C, Maccauro G. The IlluminOss® System: a solution in elderly patients with upper limbs bone metastases. Eur Rev Med Pharmacol Sci. 2022;26(1 Suppl):119-26.