Liu Geng-yan, Zhang Chao-yue, Wu Hong-wei
Department of Orthopedics, The Third Xiangya Hospital of Central South University, China.
Orthopedics. 2012 Aug 1;35(8):702-8. doi: 10.3928/01477447-20120725-10.
The optimal treatment approach for the initial management of radial nerve palsy associated with humeral shaft fractures has yet to be conclusively determined. The authors performed a systematic review of the literature to identify studies that compared the outcomes after initial nonoperative and operative management for radial nerve palsy associated with acute humeral shaft fractures. A meta-analysis of the data from these studies was also performed to determine whether recovery from radial nerve palsy was more favorable in one approach compared with the other. The primary outcome was recovery from radial nerve palsy and the secondary outcome was complaints after treatment. Nine articles (1 prospective observational and 8 retrospective) were included in the meta-analyses. Operative management showed no improved recovery from radial nerve palsy compared with nonoperative management. Nonoperative management was associated with a decreased risk of complaints relative to operative management. Recovery from radial nerve palsy associated with acute humeral shaft fractures is not influenced by the initial management approach.
对于与肱骨干骨折相关的桡神经麻痹初始治疗的最佳方法尚未最终确定。作者对文献进行了系统回顾，以确定比较急性肱骨干骨折相关桡神经麻痹初始非手术和手术治疗后结果的研究。还对这些研究的数据进行了荟萃分析，以确定桡神经麻痹从一种治疗方法中恢复是否比另一种更有利。主要结果是桡神经麻痹的恢复情况，次要结果是治疗后的主诉。荟萃分析纳入了9篇文章（1篇前瞻性观察性文章和8篇回顾性文章）。与非手术治疗相比，手术治疗并未显示出桡神经麻痹恢复情况有所改善。与手术治疗相比，非手术治疗相关主诉风险降低。急性肱骨干骨折相关桡神经麻痹的恢复不受初始治疗方法的影响。
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