The radial nerve at revision/redo surgery – using the lower lateral cutaneous nerve to prevent a postoperative radial nerve deficit

Background: The posterior approach to the humeral shaft is commonly used for surgical procedures on the humeral shaft. We present our experiences using the modification of the surgical exposure described by Gerwin M. which we have found useful at the time of revision surgery. Methods: Between 2014 a...

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Autores principales:	Sandeep Albert, MS, Dan Barnabas Inja, MS, Eswar Arunachalam, MBBS, DOrth, Vinoo Mathew Cherian, MS Orth
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Revision surgery Radial nerve Posterior approach to the humerus Nonunion Surgery RD1-811
Acceso en línea:	https://doaj.org/article/b412be2337ae4efc8c24b26b58924194
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spelling	oai:doaj.org-article:b412be2337ae4efc8c24b26b589241942021-11-22T04:31:37ZThe radial nerve at revision/redo surgery – using the lower lateral cutaneous nerve to prevent a postoperative radial nerve deficit2666-639110.1016/j.xrrt.2021.05.004https://doaj.org/article/b412be2337ae4efc8c24b26b589241942021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666639121000523https://doaj.org/toc/2666-6391Background: The posterior approach to the humeral shaft is commonly used for surgical procedures on the humeral shaft. We present our experiences using the modification of the surgical exposure described by Gerwin M. which we have found useful at the time of revision surgery. Methods: Between 2014 and 2019, six patients who underwent a revision surgical procedure for a nonunion of the humeral shaft where a prior surgical procedure was performed through a posterior incision were included. The approach used a modification of the posterior approach described by Gerwin M. where the lower lateral cutaneous nerve branch of the radial nerve is used to identify trace, mobilize, retract, and protect the radial nerve to achieve adequate exposure of the humeral shaft. Results and Discussion: None of the patients had a postoperative nerve deficit.Adequate exposure to aid hardware removal, osteosynthesis, and bone grafting was achieved in all patients. Conclusion: The modification of the posterior approach described by Gerwin M. is useful at the time of revision or redo surgery on the humeral shaft where other bony and soft tissue landmarks are altered to prevent an iatrogenic injury to the radial nerve while providing adequate exposure to treat a nonunion.Sandeep Albert, MSDan Barnabas Inja, MSEswar Arunachalam, MBBS, DOrthVinoo Mathew Cherian, MS OrthElsevierarticleRevision surgeryRadial nervePosterior approach to the humerusNonunionSurgeryRD1-811ENJSES Reviews, Reports, and Techniques, Vol 1, Iss 4, Pp 421-425 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Revision surgery Radial nerve Posterior approach to the humerus Nonunion Surgery RD1-811
spellingShingle	Revision surgery Radial nerve Posterior approach to the humerus Nonunion Surgery RD1-811 Sandeep Albert, MS Dan Barnabas Inja, MS Eswar Arunachalam, MBBS, DOrth Vinoo Mathew Cherian, MS Orth The radial nerve at revision/redo surgery – using the lower lateral cutaneous nerve to prevent a postoperative radial nerve deficit
description	Background: The posterior approach to the humeral shaft is commonly used for surgical procedures on the humeral shaft. We present our experiences using the modification of the surgical exposure described by Gerwin M. which we have found useful at the time of revision surgery. Methods: Between 2014 and 2019, six patients who underwent a revision surgical procedure for a nonunion of the humeral shaft where a prior surgical procedure was performed through a posterior incision were included. The approach used a modification of the posterior approach described by Gerwin M. where the lower lateral cutaneous nerve branch of the radial nerve is used to identify trace, mobilize, retract, and protect the radial nerve to achieve adequate exposure of the humeral shaft. Results and Discussion: None of the patients had a postoperative nerve deficit.Adequate exposure to aid hardware removal, osteosynthesis, and bone grafting was achieved in all patients. Conclusion: The modification of the posterior approach described by Gerwin M. is useful at the time of revision or redo surgery on the humeral shaft where other bony and soft tissue landmarks are altered to prevent an iatrogenic injury to the radial nerve while providing adequate exposure to treat a nonunion.
format	article
author	Sandeep Albert, MS Dan Barnabas Inja, MS Eswar Arunachalam, MBBS, DOrth Vinoo Mathew Cherian, MS Orth
author_facet	Sandeep Albert, MS Dan Barnabas Inja, MS Eswar Arunachalam, MBBS, DOrth Vinoo Mathew Cherian, MS Orth
author_sort	Sandeep Albert, MS
title	The radial nerve at revision/redo surgery – using the lower lateral cutaneous nerve to prevent a postoperative radial nerve deficit
title_short	The radial nerve at revision/redo surgery – using the lower lateral cutaneous nerve to prevent a postoperative radial nerve deficit
title_full	The radial nerve at revision/redo surgery – using the lower lateral cutaneous nerve to prevent a postoperative radial nerve deficit
title_fullStr	The radial nerve at revision/redo surgery – using the lower lateral cutaneous nerve to prevent a postoperative radial nerve deficit
title_full_unstemmed	The radial nerve at revision/redo surgery – using the lower lateral cutaneous nerve to prevent a postoperative radial nerve deficit
title_sort	radial nerve at revision/redo surgery – using the lower lateral cutaneous nerve to prevent a postoperative radial nerve deficit
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/b412be2337ae4efc8c24b26b58924194
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The radial nerve at revision/redo surgery – using the lower lateral cutaneous nerve to prevent a postoperative radial nerve deficit

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