Radial nerve transfer in the treatment of humeral shaft fractures Application.doc

 PAGE \* MERGEFORMAT 6 Radial nerve transfer in the treatment of humeral shaft fractures Application [Abstract] Objective To investigate the surgical treatment of humeral shaft fracture to avoid the iatrogenic radial nerve injury. Methods of radial nerve in the operation will shift to the rear and then the reduction and internal fixation. Results of 58 cases of humeral shaft fractures does not appear iatrogenic radial nerve injury. Conclusion radial nerve surgery will shift further to the rear of reduction and internal fixation can prevent iatrogenic radial nerve injury. [Keywords:] humeral fractures; radial nerve; iatrogenic injury Since January 1998 ~ April 2010, the author of humeral shaft fractures of the radial nerve revealed by the first shift back again, and then further reduction and internal fixation, there was no case of iatrogenic radial nerve injury, clinical efficacy satisfaction. are as follows. 1 Materials and Methods 1.1 General information on 58 cases in this group 33 patients were male, 25 female, aged 14 to 71 years, average 39.7 years old. Which injury time within 1 week, 48 cases within 1 week to January 5 cases, 1 month or more in 5 cases . 23 cases of fracture line in the middle, in the lower 1 / 3 at the junction of 29 cases, 6 cases on the .58 cases accounted for 27 cases of fracture, which itself merged radial nerve injury in 7 cases. 1.2 All patients were treated with surgical methods of brachial plexus anesthesia, the fracture line as the center, take the upper arm before the lateral incision, fracture and lower middle 1 / 3 at the junction of the first exposed fracture of radial nerve, and a portion of its free, latex with protection After the nerve to traction, and then peel fracture, internal fixation after a reset, the CPC line of 58 cases 37 cases of radial nerve transfer, 7 patients with a preoperative radial nerve injury during operation combined nerve were found in nerve contusion, all rows of radial nerve s