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Type: Artigo de periódico
Title: Is Mipo In Humeral Shaft Fractures Really Safe? Postoperative Ultrasonographic Evaluation.
Author: Livani, Bruno
Belangero, William
Andrade, Kleber
Zuiani, Guilherme
Pratali, Raphael
Abstract: In the last few years there has been great interest in minimally invasive plate osteosynthesis (MIPO) in the treatment of humeral shaft fractures. None of these studies showed the anatomical relationship between the radial nerve and the material of the implant in vivo. We performed postoperative ultrasonographic measurement of the distance between the radial nerve and the material implanted using the MIPO technique. Nineteen patients underwent postoperative ultrasound examinations. Group A comprised midshaft fractures and group B distal third fractures. The point of greatest proximity between the radial nerve and the implant was measured. In group A the distance was between 1.6 and 19.6 mm (mean: 9.3 mm) and in group B between 1.0 and 8.1 mm (mean: 4.0 mm). The ultrasound findings reveal that the radial nerve is quite close to the implant material, especially in the transition between the third and fourth quarters of the humeral shaft.
Subject: Adult
Bone Plates
Fracture Fixation, Internal
Humeral Fractures
Internal Fixators
Middle Aged
Minimally Invasive Surgical Procedures
Postoperative Period
Radial Nerve
Retrospective Studies
Risk Factors
Treatment Outcome
Citation: International Orthopaedics. v. 33, n. 6, p. 1719-23, 2009-Dec.
Rights: fechado
Identifier DOI: 10.1007/s00264-008-0616-x
Date Issue: 2009
Appears in Collections:Unicamp - Artigos e Outros Documentos

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