Fracture Of Distal Humerus: Mipo Technique With Visualization Of The Radial Nerve

dc.creatorZogbi D.R.
dc.creatorTerrivel A.M.
dc.creatorMouraria G.G.
dc.creatorMongon M.L.D.
dc.creatorKikuta F.K.
dc.creatorZoppi Filho A.
dc.date2014
dc.date2015-06-25T17:51:50Z
dc.date2015-11-26T14:10:10Z
dc.date2015-06-25T17:51:50Z
dc.date2015-11-26T14:10:10Z
dc.date.accessioned2018-03-28T21:10:49Z
dc.date.available2018-03-28T21:10:49Z
dc.identifier
dc.identifierActa Ortopedica Brasileira. Sociedade Brasileira De Ortopedia E Traumatologia, v. 22, n. 6, p. 300 - 303, 2014.
dc.identifier14137852
dc.identifier10.1590/1413-78522014220601003
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84911401566&partnerID=40&md5=cd0f9ca370ba2e366ec76b1dcf69fd44
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/86144
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/86144
dc.identifier2-s2.0-84911401566
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1241441
dc.descriptionObjectives: 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.
dc.description22
dc.description6
dc.description300
dc.description303
dc.descriptionTytherleigh-Strong, G., Walls, N., McQueen, M.M., The epidemiology of humeral shaft fractures (1998) J Bone Joint Surg Br., 80 (2), pp. 249-253
dc.descriptionRockwood Jr, C.A., Green, D.P., Bucholz, R.W., Heckman, J.D., Rockwood and Greens fractures in adults. 7th ed. (2013), Philadelphia: Lippincott CoLivani, B., Belangero, W.D., Bridging plate osteosynthesis of humeral shaft fractures (2004) Injury., 35 (6), pp. 587-595
dc.descriptionApivatthakakul, T., Arpornchayanon, O., Bavornratanavech, S., Minimally invasive plate osteosynthesis (MIPO) of the humeral shaft fracture (2005) Is it possible? A cadaveric study and preliminary report. Injury., 36 (4), pp. 530-538
dc.descriptionHernández, S., Dario, R., Placa puente en húmero (2003) Perspectiva de una técnica. Rev Colomb Ortop Traumatol., 17 (3), pp. 69-73
dc.descriptionLivani, B., Belangero, W.D., Osteossíntese de fratura diafisária do úmero com placa em ponte: apresentação e descrição da técnica (2004) Acta Ortop Bras., 12 (2), pp. 112-117
dc.descriptionLivani, B., Belangero, W.D., Castro de Medeiros, R., Fractures of the distal third of the humerus with palsy of the radial nerve: management using minimally-invasive percutaneous plate osteosynthesis (2006) J Bone Joint Surg Br., 88 (12), pp. 1625-1628
dc.descriptionZiran, B.H., Belangero, W., Livani, B., Pesantez, R., Percutaneous plating of the humerus with locked plating: technique and case report (2007) J Trauma., 63 (1), pp. 205-210
dc.descriptionConcha, J.M., Sandoval, A., Streubel, P.N., Minimally invasive plate osteosynthesis for humeral shaft fractures: are results reproducible? (2010) Int Orthop., 34 (8), pp. 1297-1305
dc.descriptionHolstein, A., Lewis, G.M., Fractures of the humerus with radial-nerve paralysis (1963) J Bone Joint Surg Am., 45, pp. 1382-1388
dc.descriptionWhitson, R.O., Relation of the radial nerve to the shaft of the humerus (1954) J Bone Joint Surg Am., 36 (1), pp. 85-88
dc.descriptionWang, J.P., Shen, W.J., Chen, W.M., Huang, C.K., Shen, Y.S., Chen, T.H., Iatrogenic radial nerve palsy after operative management of humeral shaft fractures (2009) J Trauma., 66 (3), pp. 800-803
dc.descriptionLivani, B., Belangero, W., Andrade, K., Zuiani, G., Pratali, R., Is MIPO in humeral shaft fractures really safe? Postoperative ultrasonographic evaluation (2009) Int Orthop., 33 (6), pp. 1719-1723
dc.descriptionKocher, T., Surgical approaches. (1987), p. 92. , In: Crenshaw AH, editor. Campbell's operative orthopaedics. 7th ed. St. Louis: Mosby CoMorrey, B.F., An, K.N., Chao, E.Y., Functional evaluation of the elbow (1993), pp. 86-89. , In: Morrey BF, editor. The elbow and its disorder. 2th ed. Philadelphia: WB SaundersPospula, W., Abu Noor, T., Percutaneous fixation of comminuted fractures of the humerus: initial experience at Al Razi hospital, Kuwait (2006) Med Princ Pract., 15 (6), pp. 423-426
dc.descriptionAn, Z., Zeng, B., He, X., Chen, Q., Hu, S., Plating osteosynthesis of mid-distal humeral shaft fractures: minimally invasive versus conventional open reduction technique (2010) Int Orthop., 34 (1), pp. 131-135
dc.descriptionZhiquan, A., Bingfang, Z., Yeming, W., Chi, Z., Peiyan, H., Minimally invasive plating osteosynthesis (MIPO) of middle and distal third humeral shaft fractures (2007) J Orthop Trauma., 21 (9), pp. 628-633
dc.descriptionKobayashi, M., Watanabe, Y., Matsushita, T., Early full range of shoulder and elbow motion is possible after minimally invasive plate osteosynthesis for humeral shaft fractures (2010) J Orthop Trauma., 24 (4), pp. 212-216
dc.descriptionLian, K., Wang, L., Lin, D., Chen, Z., Minimally invasive plating osteosynthesis for mid-distal third humeral shaft fractures (2013) Orthopedics., 36 (8), pp. e1025-e1032
dc.languageen
dc.publisherSociedade Brasileira de Ortopedia e Traumatologia
dc.relationActa Ortopedica Brasileira
dc.rightsaberto
dc.sourceScopus
dc.titleFracture Of Distal Humerus: Mipo Technique With Visualization Of The Radial Nerve
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución