Mohammad Shabir, Muhammad Inam, Arif Shehzad, Shahid Iqbal, Ihsan Ullah.
Radial Nerve Injury after Operative Management of Humerus Shaft Fractures.
Pak J Med Health Sci Jan ;12(2):836-8.

Aim: To find out the frequency of iatrogenic radial nerve injury during surgery for humeral shaft fracture. Methods: The study was performed in department of Orthopedics Medical Teaching Institute Lady Reading Hospital Peshawar from January 2014 to December 2016 including patients with shaft of humerus fracture who underwent surgery for fixation. Medical records were analyzed including radiographs, AO fracture type, level of humerus fracture and post-operative radial nerve palsy with its recovery duration. Results: Sixty three patients underwent surgery for shaft of humerus fracture, 14 had radial nerve palsy before surgery. Eight (16%) developed radial nerve palsy after surgery. The risk factor is AO type A fracture (61%) and middle third of humeral shaft fracture (63 %), with incidence of palsy to be 20% and 19% respectively.(p<0.05) Conclusion: Keeping in view the incidence of post-operative radial nerve palsy, that the radial nerve is injured at mid shaft humerus fractures and transverse and oblique fracture configuration.

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