WI Faisham

Hospital Universiti Sains Malaysia

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W Zulmi

Hospital Universiti Sains Malaysia

W Zulmi

Hospital Universiti Sains Malaysia

Sahran Yahaya

Hospital Universiti Sains Malaysia

Biswal Bm

All India Institute of Medical Sciences

Ahmad Sukari Halim

Hospital Universiti Sains Malaysia

AH Nawaz

Hospital Universiti Sains Malaysia

Ezane Am

MZ Norazman

Universiti Sains Malaysia

Abdul Razak Sulaiman

Hospital Universiti Sains Malaysia

Azman Ws

Hospital Universiti Sains Malaysia

Cooperative Institutions

Hospital Universiti Sains Malaysia

Universiti Sains Malaysia

University Kebangsaan Malaysia Medical Centre

Hospital Kuala Lumpur

Hospital Sungai Buloh

Hospital Pulau Pinang

Hospital Sultanah Bahiyah

Hospital Sultanah Nur Zahirah

Sultan Zainal Abidin University

International Islamic University Malaysia

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Radial Forearm Wrapped-around Iliac Graft: Alternative Option for Thumb Reconstruction

Malaysian Orthopaedic Journal (2011)

Shahrulazua Ahmad WI Faisham MZ Norazman W Zulmi

We present a case in which a patient with well-differentiated squamous cell carcinoma of the dominant thumb underwent resection at the level of metacarpo-phalangeal joint and primary reconstructive surgery using a tricortical iliac bone graft with radial forearm wrapped-around pedicle flap.This single stage resection and reconstructive procedure was simple and relatively easy to perform, without the need for microsurgical expertise.Detailed surgical procedures and excellent functional result are described.

10.5704/moj.1103.010

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Partial resection of pelvis and salvage of the lower limb in the treatment of malignant pelvic tumours.

PubMed (2001)

WI Faisham W Zulmi M Aidura Yazid Sallehuddin Ay

Malignant pelvic tumours often present late, hence a high index of suspicion should be maintain in order to arrive at the diagnosis. This is particularly true for those who have unusual symptoms. A proper planning and staging strategies is required to save the limb, and the limb salvage surgery is at present the surgery of choice to achieve local control and restoring optimum functions of the lower limbs as being illustrated by our three cases.

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Traumatic Hemipelvectomy with Free Gluteus Maximus Fillet Flap Covers: A Case Report

Malaysian Orthopaedic Journal (2012)

WI Faisham WS Azman T S Tengku Muzaffar DAJ Muslim AH Azhar

Traumatic hemipelvectomy is an uncommon and life threatening injury. We report a case of a 16-year-old boy involved in a traffic accident who presented with an almost circumferential pelvic wound with wide diastasis of the right sacroiliac joint and symphysis pubis. The injury was associated with complete avulsion of external and internal iliac vessels as well as the femoral and sciatic nerves. He also had ipsilateral open comminuted fractures of the femur and tibia. Emergency debridement and completion of amputation with preservation of the posterior gluteal flap and primary anastomosis of the inferior gluteal vessels to the internal iliac artery stump were performed. A free fillet flap was used to close the massive exposed area.traumatic hemipelvectomy, amputation, and free gluteus maximus fillet flap.

Hemipelvectomy

Ischial tuberosity

Buttocks

External iliac artery

10.5704/moj.1207.002

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Citations (4)

A Single Posterolateral Scapular Approach to Drain Post-Traumatic Intramuscular Scapular and Axillary Abscess in an Adolescent: A Case Report

Malaysian Orthopaedic Journal (2019)

Khaw YC WI Faisham

Scapular abscess is a rare clinical diagnosis. This is a report of an atypical case of extensive intramuscular scapular abscess involving the anterior and posterior aspects of the scapula with extension into the axillary region following minor trauma in a young healthy adolescent, describing a single posterolateral approach to the scapula to evacuate the abscess. Following surgical drainage and antibiotic treatment, patient recovered without any complication.

Incision and drainage

Antibiotic Therapy

10.5704/moj.1907.012

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Citations (2)

Outcome of Surgical Treatment of Pelvic Osteosarcoma: Hospital Universiti Sains Malaysia Experience

Malaysian Orthopaedic Journal (2013)

Mohd Ariff Sharifudin W Zulmi WI Faisham MZ Nor Azman AH Nawaz

We reviewed the surgical treatment and outcomes of 13 patients with pelvic osteosarcoma treated in our centre in the past decade. The study sample included 9 males and 4 females with a mean age of 28.1 years. Four patients had ileal lesions, five had acetabulum lesions, one had a ischiopubis lesion, and three had involvement of the whole hemipelvis. Seven patients presented with distant metastases at diagnosis. Limb salvage was performed in 6 patients and amputation in 7. In 60% of cases in the limb salvage surgery group, we attempted wide resection with positive microscopic margin compared to only 16.7% in the amputation group. Local recurrence was higher in the limb salvage group. Overall survival was 18 months for mean follow up of 14.8 months. Median survival was 19 months in the limb salvage group compared to 9 months in amputation group. The outcome of surgical treatment of pelvic osteosarcoma remains poor despite advancements in musculoskeletal oncology treatment.Pelvic osteosarcoma, limb salvage surgery, hemipelvectomy, margins, oncologic outcomes.

Hemipelvectomy

Salvage therapy

10.5704/moj.1303.018

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Citations (3)

The Incidence of Malignant Infiltration in the Biopsy Tract of Osteosarcoma

Malaysian Orthopaedic Journal (2007)

R Mohana WI Faisham W Zulmi AS Nawfar Omar Effat

Biopsy is a crucial step in the management of musculoskeletal sarcoma. The surgical approach to the biopsy site is important, as the tract must be removed en bloc with the tumour during limb sparing surgery so as to reduce the risk of local recurrence. The biopsy tracts of 26 osteosarcoma patients were evaluated histologically for tumour infiltration. Horizontal sections of 1 mm thickness with 2 cm radius from were evaluated from each excised biopsy tract. Five out of 26 cases (19.2%) showed positive tumour infiltration. One case (3.85%) had tumour infiltration in the pseudocapsule, two cases (7.69%) had tumour infiltration into the muscle and two other cases (7.69%) had tumour infiltration into the subcutaneous tissue. None had skin infiltration. We conclude that resection of the entire biopsy tract is indeed mandatory for surgical treatment of osteosarcoma.

Infiltration (HVAC)

Needle biopsy

10.5704/moj.0711.001

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Citations (25)

Early outcome of reamed interlocking nail for non-union of tibia.

PubMed (2006)

WI Faisham Abdul Razak Sulaiman W Zuhni

Aseptic non-union is a major problem following complicated fracture tibia, which carries significant morbidity and prolonged course of treatment. Plate fixation and autogenous bone grafting has been established as a method of treatment. However the risk of infection, implant failure and donor site morbidity are high. We reviewed twelve consecutive cases of established non-union tibia treated by closed reamed interlocking nail in our centre. All patients had clinical and radiological union at three months. Three patients were complicated with infection and one required removal of implant and re-reaming to eradicate infection. Reamed interlocking nailing is an alternative treatment for selected non-union of fracture tibia with promising results.

Non union

Aseptic processing

Bone grafting

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Citations (7)

Abdominal aorta and inferior vena cava thromboses in advanced stage of malignant fibrous histiocytoma.

PubMed (2005)

WI Faisham W Zulmi Ezane Am Biswal Bm

Asymptomatic simultaneous thrombosis of abdominal aorta and inferior vena cava is a rare complication in advanced malignancy. We described an incidental finding of this clinical entity in our patient who presented with advance stage of malignant fibrous hystiocytoma of soft tissue and pathological fracture. The radiological evaluation with spiral computed tomography scan of abdominal aorta and inferior vena cava are presented and the subsequent management highlighted.

Abdominal aorta

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Citations (2)

Radial Forearm Wrapped-around Iliac Graft: Alternative Option for Thumb Reconstruction

DOAJ (DOAJ: Directory of Open Access Journals) (2011)

Shahrulazua Ahmad WI Faisham MZ Norazman W Zulmi

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Pulmonary metastases of giant cell tumour of the bone.

PubMed (2004)

WI Faisham W Zulmi Saim Ah Biswal Bm

The clinical presentation and behaviour of giant cell tumour of bone vary. The progression of the disease and metastasis are unpredictable, but the overall prognosis is good. Six patients with pulmonary metastases of giant cell tumour have been treated at our institution since 1998. This represents 15% of all patients treated for giant cell tumour of the bone. Early detection and treatment of this tumour is important as complete resection of this tumour have favourable prognosis. Multiple lung nodules which preclude resection may remain dormant and asymptomatic with systemic chemotherapy.

Presentation (obstetrics)

Surgical resection

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Citations (11)