In cases of humeral diaphyseal fractures, is lateral approach surgery without radial nerve exploration as effective and safe as conventional surgery?

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dc.contributor.authorDoğan, Necati
dc.contributor.authorHançerli, Cafer Özgür
dc.contributor.authorBüyükdoğan, Halil
dc.contributor.authorErtürk, Cemil
dc.date.accessioned2025-03-09T10:57:33Z
dc.date.available2025-03-09T10:57:33Z
dc.date.issued2024
dc.departmentİstanbul Beykent Üniversitesi
dc.description.abstractBACKGROUND: 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 ef-fectiveness and safety to conventional surgery, with potential perioperative advantages such as reduced operation time and blood loss. © 2024, Turkish Association of Trauma and Emergency Surgery. All rights reserved.
dc.identifier.doi10.14744/tjtes.2024.49500
dc.identifier.endpage457
dc.identifier.issn1306-696X
dc.identifier.issue6
dc.identifier.pmid38863290
dc.identifier.scopus2-s2.0-85195888189
dc.identifier.scopusqualityQ3
dc.identifier.startpage451
dc.identifier.urihttps://doi.org/10.14744/tjtes.2024.49500
dc.identifier.urihttps://hdl.handle.net/20.500.12662/4912
dc.identifier.volume30
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Association of Trauma and Emergency Surgery
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_Scopus_20250310
dc.subjectHumeral diaphyseal fracture
dc.subjecthumerus lateral approach
dc.subjectradial nerve dissection
dc.subjectradial nerve palsy
dc.titleIn cases of humeral diaphyseal fractures, is lateral approach surgery without radial nerve exploration as effective and safe as conventional surgery?
dc.title.alternativeHumerus diyafiz kırıklarında radial sinir diseksiyonu yapılmadan lateral yaklaşım cerrahisi konvansiyonel cerrahi kadar etkili ve güvenli midir?
dc.typeArticle

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