Estudo da relação anatômica do nervo sensitivo radial após fixação percutânea com fios de Kirschner

Labronici, Pedro José; Franco, José Sergio; Hoffmann, Rolix; Silva, Anselmo Fernandes da; Passos, Marco Aurélio Rodrigues da Fonseca; Lourenço, Paulo Roberto Barbosa de Toledo; Fernandes, Hélio Jorge Alvachian; Reis, Fernando Baldy dos

doi:10.1590/s0102-36162008000200006

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“…We had three cases of superficial infection of the Kirschner wires that were resolved through changing the dressings and administering oral antibiotics, one case of sympathetic reflex dystrophy and one case of loss of reduction with the need for a new procedure. We did not have any case of lesions of sensory branches of the radial nerve, as also shown by other studies, and by anatomical studies that demonstrated that occurences of such lesions caused by Kirschner wires would be unusual (30) . Likewise, we did not have any case of tendon rupture, either of flexor or of extensor type.…”

Section: Discussionsupporting

confidence: 69%

Resultados funcionais e radiológicos a longo prazo da fixação percutânea das fraturas da extremidade distal do rádio

Júnior¹,

Bufáiçal²,

Freitas³

et al. 2012

Rev. bras. ortop.

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The authors declare that there was no conflict of interest in conducting this work ABSTRACTObjective: To evaluate, functionally and radiologically, the long term outcomes of the management of distal radius fracture treated by closed reduction and percutaneous pinning fixation. Methods: From 84 patients submitted to percutaneous fixation of the distal radius fracture, we evaluated 34, with a medium follow-up of 85.7 months (from 18 to 168 months). Of the 34 patients, 23 were women, and the ages ranged from 28 to 88 years (median 65 years). We analyzed the range of movement, strength, pain and the results of the DASH questionnaire. Radiological evaluation was also carried out, to evaluate healing time and angles of the distal radius. Results: The fractures healed in an average of 41 days. The mean values for wrist flexion, extension, radioulnar deviation, pronation and supination were within the functional parameters for ROM of the wrist. Most of the patients (76.5%) presented no pain during the examination, and 23 patients presented a DASH value of zero. There was one case of loss of reduction, which was re-operated two weeks after the initial surgery, and one patient developed a sympathetic dystrophy associated with a distal radioulnar joint disturbance. Conclusion: Percutaneous pinning fixation for distal radius fracture results in a long term follow-up with excellent range of movement, little or no pain, acceptable radiographic parameters, and low complication rate, and is an efficient and low cost method.

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Section: Discussionsupporting

confidence: 69%