Adult, 30-38 years old
Malignant bone tumor of the lower third of the shoulder with a bone tissue defect
In the first stage of the procedure, debridement was performed to remove dead or infected tissue and bone fragments. Metal screws are placed for stabilization. An antibiotic cement spacer loaded with vancomycin and gentamicin is inserted to deliver antibiotics locally and maintain the bone space.
In the second stage, eight weeks after the initial surgery, the antibiotic spacer is removed once the infection is controlled. Bone grafting with a bone plate, iliac crest graft, and synthetic material (Trioss) is then used to fill the defect and stabilize the area.
