Fracture of distal humerus: MIPO technique with visualization of the radial nerve

Detalhes bibliográficos
Autor(a) principal: Zogbi,Daniel Romano
Data de Publicação: 2014
Outros Autores: Terrivel,Alberto Maranon, Mouraria,Guilherme Grisi, Mongon,Maurício Leal Dias, Kikuta,Fernando Kenji, Zoppi Filho,Américo
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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spelling 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
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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
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