CMCH surgeons perform rare limb salvage surgery
M Eswaran of Moongiltholuvu village near Udumalaipettai in Tirupur district was admitted to CMCH in July with a swollen left shoulder, which was diagnosed as squamous cell carcinoma that had metastasized from oesophageal cancer.
Dr S Vetrivel Chezian, director of the Institute of Orthopaedics and Traumatology, said metastasis is common in the knee bone and the joints of the lower limbs, such as the thighs. He added that the typically diagnosed age group is young adults around thirty.
He said, "The foremost factor is its rare occurrence in the upper part of the body, followed by age. Usually, when tumours are encountered at the secondary stage, that particular portion gets paralysed.
But Eswaran's arm movements were intact. That's why we decided to save the bone and do a custom-made prosthesis on the left shoulder. Almost 15 cm of the prosthesis was inserted, retaining the patient's elbow bone and the rest of the limb bone.
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The surgery was multidisciplinary. 'This is the first such case in CMCH so far. The entire procedure was accomplished under the Chief Minister's Comprehensive Health Insurance Scheme.
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If this had been performed at any private facility, it would cost at least Rs 3 lakh,' he said.
Eswaran, daily wage earner, underwent the surgery on July 23 and is currently under observation, with plans to be discharged in a couple of days. The doctor said the patient would continue treatment for his oesophageal cancer. Although there may be limitations in his limb movements, a recovery time of six to twelve weeks is suggested to regain shoulder movements.
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