Radial nerve recovery following closed nailing of humeral shaft fractures without radial nerve exploration: A retrospective study

作     者：Kuei-Lin Yeh Chen-Kun Liaw Tai-Yin Wu Chung-Pei Chen 

作者机构：Department of OrthopedicsShin Kong Wu-Ho Su Memorial HospitalTaipei City 111Taiwan Department of OrthopedicsSchool of MedicineCollege of MedicineTaipei Medical UniversityTaipei City 11031Taiwan Department of OrthopedicsShuang Ho HospitalTaipei Medical UniversityNew Taipei City 23561Taiwan Graduate Institute of Biomedical OptomechatronicsCollege of Biomedical EngineeringResearch Center of Biomedical DeviceTaipei Medical UniversityTaipei City 11301Taiwan Department of Family MedicineZhongxing BranchTaipei City HospitalTaipei City 10341Taiwan Institute of Epidemiology and Preventive MedicineNational Taiwan UniversityTaipei City 10055Taiwan National Taipei University of Nursing and Health ScienceTaipei City 11219Taiwan Department of OrthopedicsCathay General HospitalNew Taipei City 221Taiwan 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2021年第9卷第27期

页      面：8044-8050页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Humeral shaft fracture Radial nerve palsy Close nailing fixation Nerve exploration 

摘      要：BACKGROUND Radial nerve palsy due to humeral shaft fracture is the most common peripheral nerve injury associated with long bone *** antegrade nailing surgical technique is becoming popular for the fixation of these fractures with minimal *** analyzed nerve recovery in patients with humeral shaft fracture and radial nerve palsy treated with humeral nail fixation without nerve *** To assess the radial nerve recovery rate and time from humeral shaft fracture with surgical treatment using close *** We retrospectively collected data of patients who underwent undergone surgical nail fixation for humeral shaft fractures between October 1,2016,and March 31,***,we analyzed the primary or secondary radial nerve palsy recovery rate and radial nerve motor function recovery *** The study included 70 patients who underwent surgical treatment for closed-or Gustilo type I open humeral shaft fractures using a nail fixation technique without radial nerve *** patients suffered from primary(n=5)and secondary(n=5)radial nerve palsy.A 100%radial nerve recovery rate was *** mean recovery time was 4.3 *** The study results indicate full recovery of radial nerve palsies from humeral shaft fracture using close nailing *** need not be concerned about the occurrence of permanent nerve palsies.