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June, 2017
Mr. Basam, from Yemen came to Sakra World Hospital with a gunshot injury in his elbow. He had lost a lot of vital structure around the elbow and had undergone multiple surgeries for the same in his own country. Even though his limb was saved as result of all these surgeries he was still not able to perform simple activities of daily living. He could not comb, eat, write or simply lift his arm properly. The main problem was the severely bones and there was literally no joint making the elbow the arm dangling. There was no hold between the upper and lower part of the limb. It was a very challenging case because when he came to us, his joint was moving in all possible directions. The patient was very keen on getting the treatment, and was eager to get back to normal as it was the dominant hand and he felt handicapped.
We evaluated the patient and did multiple investigations and a CT scan with 3D reconstructions to understand the remaining bone structure and to evaluate what best could be done with it. There were multiple challenges – like the normal anatomy of the hand had been distorted due to the injury and the multiple surgeries. Also the bone structure was completely damaged and disorganized, the skin over injured part was not in a very good condition and another major concern was the musculature and its functionality after the surgery.
So after evaluating and thorough investigations, we decided to perform the surgery. We explained the details of the surgery to the patient, told him about all the limitations the pros and cons of the surgery along with the precautions he would need to take. The patient was also very enthusiastic and showed great enthusiasm and willingness to follow all the precautions. Finally we were able to perform a successful Total Elbow Arthroplasty, with complete wound coverage followed by good healing. After 3 weeks we removed the plaster and started mobilizing the joint and he showed excellent improvement. The recovery was very good, he could move and use his arm comfortably and could even write. Seeing the happiness on the patient’s face and his ability to use his arm again makes it indeed a very satisfying job.
Treatment: Complete Elbow Reconstruction
Patient Name: Mr. Basam
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Location: Yemen
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Doctor * Select Doctor Adil Sadiq Ajay Shetty Amitha Vikrama K.S. Anil Kumar P.L. Anand B. Mamdapur Anisha S. Tandon Arjun Satapute Balasubramanya K.V C. Ramachandra C.Srinivasa Chandrashekar P. Chitra Sreenivasa Murthy Deepak Krishnamurthy Jamuna Kakarla Dinesh Kini Hirachand S Mutagi Honey Ashok Sai Shankar Afsia Ansar Indira Rajani M.N. Chidananda Swamy Madhusudan R. Maheswarappa B.M. Nandita Ghosal Naveen Jayaram Pallavi Rao Prabha Ramakrishna Raghu J. Rajendra Suresh Gujjalanavar Rani Premkumar Ravi kiran S. S. Manohar Sadiq Sikora Sandeep Suresh Patil Satish Rudrappa Shabnam Roohi Shantanu Tandon K Saranya Shishir Chandrashekhar Shiva Kumar R. Shweta Singhai Sirish Nelivigi Sreekanth B. Shetty Rekha Pradeep Prasanna Bhat K S Srikanth Narayanaswamy Subrata Das Sunil Kumar N.K. Sushma Rani Raju Swaroop Gopal Siddharth Sonkamble Vijaya Gowri Bandaru Vineet Gupta Shanthala Thuppanna Abhishek Shetty Banarji B.H Venu Madhav Reddy G. C.V. Harinarayan TR Hemkumar Shivakumar Sambargi Laxman F Mavarkar Kishore GSB Ramya Sachin S Shetty Anupama Rani V Saravanan S Girish G Nelivigi Sachin Kumar Somyaa Khuller Geetha S Amruthesh T.M Supritha R. M Narender M Esha Singh Ravi Chandra J B Nataraj H M Nanda Rajneesh N Chandrashekar Saisanchita Varsha Saxena Ashwini Maiya Manoj Kumar R Divya .B Neha Gupta Bharatraj Banavalikar Dali Chandran Aditi Dattagupta Ramachandran
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