Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/56972
Tipo: Artigo de Periódico
Título: Humerus shaft fracture associated with traumatic radial nerve palsy: An international survey among orthopedic trauma surgeons from Latin America and Asia/Pacific
Autor(es): Vincenzo Giordano
William Belangero
Robinson Esteves Santos Pires
Pedro José Labronici
Resumen: Purpose: The purpose of this article is to explore the real-life practice of clinical management of humeral shaft fracture associated with traumatic radial nerve palsy among orthopedic trauma surgeons. Methods: Two hundred seventy-nine orthopedic surgeons worldwide reviewed 10 real cases of a humeral shaft fracture associated with traumatic radial nerve palsy answering two questions: (1) What treatment would you choose/recommend: nonoperative or operative? (2) What are the reasons for your decision-making? The survey was developed in an online survey tool. All participants were active members from AOTrauma International. Results: Two hundred sixty-six (95.3%) participants were from Latin America and Asia/Pacific. One hundred sixty-two participants (58.1%) had more than 10 years in practice and 178 (63.8%) of them did trauma as the main area of interest. One hundred fifty-one (54.1%) participants treated less than three humeral shaft fractures a month. Traumatic radial nerve palsy was the main reason (88.4%) for surgeons to recommend surgical treatment. Open reduction and internal fixation (ORIF) or percutaneous fixation of the fracture associated with acutely explore of radial nerve was the first option in 62.0% of the cases. A combination of morphology and level of the fracture and the presence of the radial nerve palsy was the most suggested reason to surgically treat the humerus fracture. The main isolated factor was the morphology of the fracture. Conclusion: Our survey highlight the tendency for a more aggressive management of any humeral shaft fracture associated with a traumatic radial nerve palsy, with surgeons preferring to use ORIF with acute exploration of the radial nerve. Nonsurgical management was the less chosen option among the 279 respondents. Fracture morphology, level of the fracture, and the presence of the radial nerve palsy were most influential for guiding their treatment.
Asunto: Fraturas do Úmero
Nervo Radial
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Institución: UFMG
Departamento: MED - DEPARTAMENTO DE APARELHO LOCOMOTOR
Tipo de acceso: Acesso Aberto
Identificador DOI: 10.1177/2309499017727914
URI: http://hdl.handle.net/1843/56972
Fecha del documento: 2017
metadata.dc.url.externa: https://journals.sagepub.com/doi/full/10.1177/2309499017727914
metadata.dc.relation.ispartof: Journal of Orthopaedic Surgery
Aparece en las colecciones:Artigo de Periódico



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