Published online Sep 26, 2021. doi: 10.12998/wjcc.v9.i27.8044
Peer-review started: April 15, 2021
First decision: April 27, 2021
Revised: May 8, 2021
Accepted: August 20, 2021
Article in press: August 20, 2021
Published online: September 26, 2021
Humeral shaft fractures are commonly associated with radial nerve palsies. The emergence of innovative implants has made the minimally invasive nailing procedure increasingly popular. In this study, we surveyed the recovery time and recovery rate of patients with primary or secondary radial nerve palsies.
No studies have been published on radial nerve recovery after nailing fixation treatment for humeral shaft fractures.
The aim of this study was to evaluate the radial nerve recovery time and rate in primary or secondary radial nerve palsy patients treated for humeral shaft fracture with a nailing fixation technique.
In this observational study, we enrolled patients with sustained close or Gustilo open type I humeral shaft fractures who received close nailing fixation treatment between October 2016 and March 2020. We examined the wrist and thumb function preoperatively and postoperatively for all humeral shaft fractures.
The study results demonstrated that all patients who suffered from radial nerve palsies recovered functionally (100%). The mean recovery time was 4.3 mo.
This observational study revealed that all patients with radial nerve palsies who underwent close nailing treatment for humeral shaft fracture achieved full recovery.
Although this observational study was conducted on a small sample, the high radial nerve recovery rate demonstrated that surgeons need not be concerned about permanent nerve injuries.