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 

机构地区：[1]Department of Orthopedics,Shin Kong Wu-Ho Su Memorial Hospital,Taipei City 111,Taiwan [2]Department of Orthopedics,School of Medicine,College of Medicine,Taipei Medical University,Taipei City 11031,Taiwan [3]Department of Orthopedics,Shuang Ho Hospital,Taipei Medical University,New Taipei City 23561,Taiwan [4]Graduate Institute of Biomedical Optomechatronics,College of Biomedical Engineering,Research Center of Biomedical Device,Taipei Medical University,Taipei City 11301,Taiwan [5]Department of Family Medicine,Zhongxing Branch,Taipei City Hospital,Taipei City 10341,Taiwan [6]Institute of Epidemiology and Preventive Medicine,National Taiwan University,Taipei City 10055,Taiwan [7]National Taipei University of Nursing and Health Science,Taipei City 11219,Taiwan [8]Department of Orthopedics,Cathay General Hospital,New Taipei City 221,Taiwan

出　　处：《World Journal of Clinical Cases》2021年第27期8044-8050,共7页世界临床病例杂志

摘　　要：BACKGROUND Radial nerve palsy due to humeral shaft fracture is the most common peripheral nerve injury associated with long bone fractures.An antegrade nailing surgical technique is becoming popular for the fixation of these fractures with minimal invasiveness.We analyzed nerve recovery in patients with humeral shaft fracture and radial nerve palsy treated with humeral nail fixation without nerve exploration.AIM To assess the radial nerve recovery rate and time from humeral shaft fracture with surgical treatment using close nailing.METHODS We retrospectively collected data of patients who underwent undergone surgical nail fixation for humeral shaft fractures between October 1,2016,and March 31,2020.Subsequently,we analyzed the primary or secondary radial nerve palsy recovery rate and radial nerve motor function recovery time.RESULTS 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 exploration.The patients suffered from primary(n=5)and secondary(n=5)radial nerve palsy.A 100%radial nerve recovery rate was achieved.The mean recovery time was 4.3 mo.CONCLUSION The study results indicate full recovery of radial nerve palsies from humeral shaft fracture using close nailing treatment.Surgeons need not be concerned about the occurrence of permanent nerve palsies.

关 键 词：Humeral shaft fracture Radial nerve palsy Close nailing fixation Nerve exploration 

分 类 号：R687.3[医药卫生—骨科学]