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Low risk of postoperative ulnar nerve affection in surgically treated distal humeral fractures when the nerve is released in situ

引用

World Journal of Orthopedics 2023年第7期14卷 526-532页

作者： Mustafa Al-Gburi Ali Al-Hamdani Jeppe Vejlgaard Rasmussen Bo Sanderhoff Olsen Section for Shoulder and Elbow Surgery Department of Orthopaedic SurgeryHerlev and Gentofte University HospitalHellerup 2900GentofteDenmark

BACKGROUND Adult distal humeral fractures(DHF)comprise 2%-5%of all fractures and 30%of all elbow *** of DHF may be technically demanding due to fracture complexity and proximity of neurovascular *** reduction and internal fixation(ORIF)are often the treatment of choice,but arthroplasty is considered in case of severe comminution or in elderly patients with poor bone *** nerve affection following surgical treatment of distal humerus fractures is a well-recognized *** To report the risk of ulnar nerve affection after surgery for acute *** We retrospectively identified 239 consecutive adult patients with acute DHFs who underwent surgery with ORIF,elbow hemiarthroplasty(EHA)or total elbow arthroplasty(TEA)between January 2011 and December *** all cases,the ulnar nerve was released in situ without anterior *** used our institutional database to review patients’medical records for demographics,fracture morphology,type of surgery and ulnar nerve affection immediately;records were reviewed after surgery and at 2 wk and 12 wk of routine clinical outpatient ***-nine percent patients were excluded due to pre-or postoperative *** follow-up examination was a telephone interview in which ulnar nerve affection was reported according to the McGowen Classification Score.A total of 210 patients were eligible for interview,but 13 patients declined participation and 17 patients failed to ***,180 patients were *** Mean age at surgery was 64 years(range 18-88 years);121(67.3%)patients were women;59(32.7%)were *** to the AO/OTA classification system,we recorded 47 patients with type A3,55 patients with type B and 78 patients with type C *** to the McGowen Classification Score,mild ulnar nerve affection was reported in nine patients;severe affection,in two.A total of 69 patients were treated with ORIF of whom three had mild temporary ulnar n

关键词： Humeral fracture Arthroplasties Internal fixation ulnar nerve affection In situ release

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