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In cases of humeral diaphyseal fractures, is lateral approach surgery without radial nerve exploration as effective and safe as conventional surgery?
Dogan, Necati; Hançerli, Cafer Özgür; Büyükdogan, Halil; Ertürk, Cemil.
Afiliación
  • Dogan N; Department of Orthopaedics and Traumatology, Basaksehir Çam and Sakura City Hospital, Istanbul-Türkiye.
  • Hançerli CÖ; Department of Orthopedics and Traumatology, Bahçesehir University Faculty of Medicine, Medical Park Göztepe Hospital, Istanbul-Türkiye.
  • Büyükdogan H; Department of Orthopaedics and Traumatology, Beykent University Hospital, Istanbul-Türkiye.
  • Ertürk C; Department of Orthopaedics and Traumatology, University of Health Sciences, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul-Türkiye.
Ulus Travma Acil Cerrahi Derg ; 30(6): 451-457, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38863290
ABSTRACT

BACKGROUND:

This study compares the efficacy and safety of lateral approach surgery with and without radial nerve dissection in treating humeral diaphyseal fractures. It assesses clinical, radiological, and complication outcomes, providing a description of the surgical methods and perioperative benefits.

METHODS:

We retrospectively analyzed data from 71 patients admitted between May 2015 and December 2022 who underwent lateral approach surgery for humeral diaphyseal fractures. Group 1, consisting of 34 patients without radial nerve dissection, and Group 2, comprising 37 patients with radial nerve dissection, were compared. Parameters such as age, gender, fracture side (right/left), fracture type, follow-up time, surgical duration, blood loss, radiological and clinical evaluations (including Shoulder-Elbow range of motion [ROM] and Quick Disabilities of the Arm, Shoulder, and Hand score [Q-DASH]), and complications were examined. Surgical techniques and outcomes were documented.

RESULTS:

Both groups exhibited comparable distributions in age, gender, fracture types, and follow-up times (p>0.05). Group 1 demonstrated significantly lower surgical duration and blood loss compared to Group 2 (p<0.05 for both). Clinical assessment revealed satisfactory shoulder and elbow ROM within functional limits for all patients, with no instances of infection. Q-DASH scores were similar between groups. Postoperative radial nerve palsy occurred in one patient in Group 1 and three patients in Group 2, with all cases resolving uneventfully during outpatient follow-ups. Radiological assessment confirmed uneventful union in all patients.

CONCLUSION:

Lateral approach surgery without radial nerve dissection for humeral diaphyseal fractures offers comparable effectiveness and safety to conventional surgery, with potential perioperative advantages such as reduced operation time and blood loss.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nervio Radial / Fracturas del Húmero Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Ulus Travma Acil Cerrahi Derg Año: 2024 Tipo del documento: Article Pais de publicación: Turquía
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nervio Radial / Fracturas del Húmero Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Ulus Travma Acil Cerrahi Derg Año: 2024 Tipo del documento: Article Pais de publicación: Turquía