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Type: Artigo de periódico
Title: Fracture Of Distal Humerus: Mipo Technique With Visualization Of The Radial Nerve.
Author: Zogbi, Daniel Romano
Terrivel, Alberto Maranon
Mouraria, Guilherme Grisi
Mongon, Maurício Leal Dias
Kikuta, Fernando Kenji
Filho, Américo Zoppi
Abstract: 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. 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. 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. 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.
Subject: Diaphyses
Humeral Fractures
Peripheral Nerve Injuries
Radial Nerve
Rights: aberto
Identifier DOI: 10.1590/1413-78522014220601003
Date Issue: 2014
Appears in Collections:Unicamp - Artigos e Outros Documentos

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