Authors: Kamarul Izham bin Kamarudin, Jun Wei Then, Ching Wooi Yeoh, Ying Jing Ooi, Chopra S.

ABSTRACT

Bone transport using the Ilizarov technique has been one of the most popular techniques in treating fracture with significant bone defect. However, pain and joint stiffness following Ilizarov fixation are few of the well-known complications. We report a case of a 23-year-old gentleman with a closed left humeral diaphyseal fracture following a traffic accident who underwent plating of the left humerus which was later complicated with infected nonunion. He was then treated with corticotomy and bone lengthening using the semicircular Ilizarov ring fixator. Good clinical and functional outcomes were observed during transportation period (elbow flexion 10̊ to 90̊) with minimal complications.

Keywords: Semi-circular Ilizarov rings, infected nonunion, bone transport.

Citation: IeJSME 2018 12(2): 34-36

DOI: https://doi.org/10.56026/imu.12.2.34

Authors: Gerald Jian Ming Lee and Kwee Choy Koh

ABSTRACT

This case report highlights the potential ramifications of an error in the diagnosis of an unusual skin lesion due to misguided interpretation of conflicting investigation results, in a treatment-experienced patient with HIV-HBV co-infection. The ramifications include potential life threatening limitation of therapeutic options for 2nd line antiretroviral therapy due to potential drug-drug interactions.

Keywords: HIV, tuberculosis, antiretroviral therapy, molluscum contagiosum, drug-drug interaction.

Citation: IeJSME 2020 14(1): 22-24

DOI: https://doi.org/10.56026/imu.14.1.22

Authors: Jing Hern Khoo, Yin Teng Ng, Kamarul Izham Kamarudin, Leong Jiahour, Ahmad Fauzey Kassim.

ABSTRACT

Sacroiliac joint (SIJ) dysfunction refers to the aberrant position or movement of SIJ structures that may cause low back pain. We report a case of right SIJ dysfunction, which was successfully managed by SIJ cannulated screw fixation and transiliac interpedicular screw and rod.

A 30-year-old female was involved in a motor vehicle accident and sustained anterior column of the right acetabulum fracture, right inferior pubic ramus fracture along with right SIJ diasthesis. She presented to us with right hip and lower back pain which led to a clinical diagnosis of right SIJ dysfunction. She underwent right SIJ cannulated screw fixation and transiliac interpedicular rod. Post-operatively, she was able to ambulate better with improving pain score upon subsequent follow-up visits.

Although transiliac interpedicular rod and sacroiliac joint screw fixation have been utilized in cases of unstable pelvic injury, literatures of applying this method of fixation to manage SIJ dysfunction are still limited. This case therefore illustrates the potential of said fixation as a method of providing additional stability in cases of SIJ dysfunction.

Keywords: Sacroiliac joint, pain, dysfunction, transiliac interpedicular screw and rod, stability.

Citation: IeJSME 2021 15(1): 40-42

DOI: https://doi.org/10.56026/imu.15.1.40