Radial nerve recovery following closed nailing of humeral shaft fractures without radial nerve exploration: A retrospective study

Kuei Lin Yeh, Chen Kun Liaw, Tai Yin Wu, Chung Pei Chen

Research output: Contribution to journalArticlepeer-review

Abstract

Background Radial nerve palsy due to humeral shaft fracture is the most common peripheral nerve injury associated with long bone fractures. An antegrade nailing surgical technique is becoming popular for the fixation of these fractures with minimal invasiveness. We analyzed nerve recovery in patients with humeral shaft fracture and radial nerve palsy treated with humeral nail fixation without nerve exploration.To assess the radial nerve recovery rate and time from humeral shaft fracture with surgical treatment using close nailing. Methods We retrospectively collected data of patients who underwent undergone surgical nail fixation for humeral shaft fractures between October 1, 2016, and March 31, 2020. Subsequently, we analyzed the primary or secondary radial nerve palsy recovery rate and radial nerve motor function recovery time. Results The study included 70 patients who underwent surgical treatment for closed-orGustilo type I open humeral shaft fractures using a nail fixation technique without radial nerve exploration. The patients suffered from primary (n = 5) and secondary (n = 5) radial nerve palsy. A 100% radial nerve recovery rate was achieved. The mean recovery time was 4.3 mo. Conclusion The study results indicate full recovery of radial nerve palsies from humeral shaft fracture using close nailing treatment. Surgeons need not be concerned about the occurrence of permanent nerve palsies

Original languageEnglish
Pages (from-to)8044-8050
Number of pages7
JournalWorld Journal of Clinical Cases
Volume9
Issue number27
DOIs
Publication statusPublished - 2021

Keywords

  • Close nailing fixation
  • Humeral shaft fracture
  • Nerve exploration
  • Radial nerve palsy

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint

Dive into the research topics of 'Radial nerve recovery following closed nailing of humeral shaft fractures without radial nerve exploration: A retrospective study'. Together they form a unique fingerprint.

Cite this