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Dislocation of elbow, infection in left humerus, abscess like wound near shoulder. X-ray shows fracture. Treatment?

Hi Doctor, my son had a dislocation on the left elbow and subsequently had an infection of the left humerus. He has been on antibiotics for sometime now and Two weeks ago, an absses like wound popped up near the shoulder but there was no pass except flesh, like something was pushing it out. x-rays show that he has a fracture in the same area. what is the best way of managing this situation?
Asked On : Fri, 18 Jan 2013
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Critical Care Specialist 's  Response
Hi thanks for your question
Your son is having fractur dislocation with infection of left arm(could be osteomylitis of humerus followin fracture).This is a complicated problem and needs to be delt by a specialist.Your son has 3 differnt issues .Off all the three,dislocation is most easy to manage,which can be reduced under General anaesthesia.Fracture can be managed in two ways.If there is no infection of humerus,open reduction and internal fixation can be done,but if there is infection of humerus ,fracture has to be reduced and fixed by external fixator and bone infection is treated simultanously.I would suggest you to consult an orthopedic surgeon who will be able to manage all the three problems of your son.Hope this answers your question.
Answered: Fri, 18 Jan 2013
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