Fracture of distal humerus: MIPO technique with visualization of the radial nerve
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Ortopédica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522014000600300 |
Resumo: | OBJECTIVES: To evaluate the outcomes in patients treated for humerus distal third fractures with MIPO technique and visualization of the radial nerve by an accessory approach, in those without radial palsy before surgery. METHODS: The patients were treated with MIPO technique. The visualization and isolation of the radial nerve was done by an approach between the brachialis and the brachiorradialis, with an oblique incision, in the lateral side of the arm. MEPS was used to evaluate the elbow function. RESULTS: Seven patients were evaluated with a mean age of 29.8 years old. The average follow up was 29.85 months. The radial neuropraxis after surgery occurred in three patients. The sensorial recovery occurred after 3.16 months on average and also of the motor function, after 5.33 months on average, in all patients. We achieved fracture consolidation in all patients (M=4.22 months). The averages for flexion-extension and prono-supination were 112.85° and 145°, respectively. The MEPS average score was 86.42. There was no case of infection. CONCLUSION: This approach allowed excluding a radial nerve interposition on site of the fracture and/or under the plate, showing a high level of consolidation of the fracture and a good evolution of the range of movement of the elbow. Level of Evidence IV, Case Series |
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Fracture of distal humerus: MIPO technique with visualization of the radial nerveHumeral fracturesDiaphysesRadial nervePeripheral nerve injuries OBJECTIVES: To evaluate the outcomes in patients treated for humerus distal third fractures with MIPO technique and visualization of the radial nerve by an accessory approach, in those without radial palsy before surgery. METHODS: The patients were treated with MIPO technique. The visualization and isolation of the radial nerve was done by an approach between the brachialis and the brachiorradialis, with an oblique incision, in the lateral side of the arm. MEPS was used to evaluate the elbow function. RESULTS: Seven patients were evaluated with a mean age of 29.8 years old. The average follow up was 29.85 months. The radial neuropraxis after surgery occurred in three patients. The sensorial recovery occurred after 3.16 months on average and also of the motor function, after 5.33 months on average, in all patients. We achieved fracture consolidation in all patients (M=4.22 months). The averages for flexion-extension and prono-supination were 112.85° and 145°, respectively. The MEPS average score was 86.42. There was no case of infection. CONCLUSION: This approach allowed excluding a radial nerve interposition on site of the fracture and/or under the plate, showing a high level of consolidation of the fracture and a good evolution of the range of movement of the elbow. Level of Evidence IV, Case Series ATHA EDITORA2014-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522014000600300Acta Ortopédica Brasileira v.22 n.6 2014reponame:Acta Ortopédica Brasileira (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1590/1413-78522014220601003info:eu-repo/semantics/openAccessZogbi,Daniel RomanoTerrivel,Alberto MaranonMouraria,Guilherme GrisiMongon,Maurício Leal DiasKikuta,Fernando KenjiZoppi Filho,Américoeng2015-08-03T00:00:00Zoai:scielo:S1413-78522014000600300Revistahttp://www.actaortopedica.com.br/https://old.scielo.br/oai/scielo-oai.php1atha@uol.com.br||actaortopedicabrasileira@uol.com.br1809-44061413-7852opendoar:2015-08-03T00:00Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Fracture of distal humerus: MIPO technique with visualization of the radial nerve |
title |
Fracture of distal humerus: MIPO technique with visualization of the radial nerve |
spellingShingle |
Fracture of distal humerus: MIPO technique with visualization of the radial nerve Zogbi,Daniel Romano Humeral fractures Diaphyses Radial nerve Peripheral nerve injuries |
title_short |
Fracture of distal humerus: MIPO technique with visualization of the radial nerve |
title_full |
Fracture of distal humerus: MIPO technique with visualization of the radial nerve |
title_fullStr |
Fracture of distal humerus: MIPO technique with visualization of the radial nerve |
title_full_unstemmed |
Fracture of distal humerus: MIPO technique with visualization of the radial nerve |
title_sort |
Fracture of distal humerus: MIPO technique with visualization of the radial nerve |
author |
Zogbi,Daniel Romano |
author_facet |
Zogbi,Daniel Romano Terrivel,Alberto Maranon Mouraria,Guilherme Grisi Mongon,Maurício Leal Dias Kikuta,Fernando Kenji Zoppi Filho,Américo |
author_role |
author |
author2 |
Terrivel,Alberto Maranon Mouraria,Guilherme Grisi Mongon,Maurício Leal Dias Kikuta,Fernando Kenji Zoppi Filho,Américo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Zogbi,Daniel Romano Terrivel,Alberto Maranon Mouraria,Guilherme Grisi Mongon,Maurício Leal Dias Kikuta,Fernando Kenji Zoppi Filho,Américo |
dc.subject.por.fl_str_mv |
Humeral fractures Diaphyses Radial nerve Peripheral nerve injuries |
topic |
Humeral fractures Diaphyses Radial nerve Peripheral nerve injuries |
description |
OBJECTIVES: To evaluate the outcomes in patients treated for humerus distal third fractures with MIPO technique and visualization of the radial nerve by an accessory approach, in those without radial palsy before surgery. METHODS: The patients were treated with MIPO technique. The visualization and isolation of the radial nerve was done by an approach between the brachialis and the brachiorradialis, with an oblique incision, in the lateral side of the arm. MEPS was used to evaluate the elbow function. RESULTS: Seven patients were evaluated with a mean age of 29.8 years old. The average follow up was 29.85 months. The radial neuropraxis after surgery occurred in three patients. The sensorial recovery occurred after 3.16 months on average and also of the motor function, after 5.33 months on average, in all patients. We achieved fracture consolidation in all patients (M=4.22 months). The averages for flexion-extension and prono-supination were 112.85° and 145°, respectively. The MEPS average score was 86.42. There was no case of infection. CONCLUSION: This approach allowed excluding a radial nerve interposition on site of the fracture and/or under the plate, showing a high level of consolidation of the fracture and a good evolution of the range of movement of the elbow. Level of Evidence IV, Case Series |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522014000600300 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522014000600300 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1413-78522014220601003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
ATHA EDITORA |
publisher.none.fl_str_mv |
ATHA EDITORA |
dc.source.none.fl_str_mv |
Acta Ortopédica Brasileira v.22 n.6 2014 reponame:Acta Ortopédica Brasileira (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Acta Ortopédica Brasileira (Online) |
collection |
Acta Ortopédica Brasileira (Online) |
repository.name.fl_str_mv |
Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
1atha@uol.com.br||actaortopedicabrasileira@uol.com.br |
_version_ |
1752122275092496384 |