Martin Anthony R, Gittings Daniel J, Levin L Scott, Donegan Derek J, Gray Benjamin L
Department of Orthopaedics, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, Pennsylvania.
JBJS Case Connect. 2018 Oct-Dec;8(4):e109. doi: 10.2106/JBJS.CC.18.00074.
A 65-year-old woman sustained a closed segmental humeral shaft fracture with a complete radial nerve palsy. Radial nerve neurotmesis was found during acute surgical exploration and fixation. Treatment included a 2-cm shortening osteotomy of the humeral shaft and osteosynthesis in order to obtain a tension-free primary end-to-end repair of the radial nerve.
Tension-free primary nerve repair can be technically challenging with humeral shaft fractures. A shortening osteotomy of the humeral shaft and osteosynthesis are feasible to achieve tension-free neurorrhaphy without nerve-grafting.
一名65岁女性遭受闭合性肱骨干节段性骨折并伴有完全性桡神经麻痹。在急性手术探查和固定过程中发现桡神经横断伤。治疗包括对肱骨干进行2厘米短缩截骨术及骨固定术，以实现桡神经无张力的一期端端修复。
肱骨干骨折进行无张力一期神经修复在技术上具有挑战性。肱骨干短缩截骨术及骨固定术对于在不进行神经移植的情况下实现无张力神经缝合是可行的。
