Radial nerve palsy in surgical revision of total elbow arthroplasties: A study of 4 cases and anatomical study, possible aetiologies and prevention

Waitzenegger, Thomas; Mansat, Pierre; Guillon, P.; Lenoir, H.; Coulet, B.; Lazerges, Cyril; Chammas, Michel

doi:10.1016/j.otsr.2015.09.022

Cited by 10 publications

(3 citation statements)

References 18 publications

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“…Complications of radial nerve are very rare, authors around the world also rarely encounter this complication. T. Waitzenegger and P. Mansat pointed out that 2 cases of radial nerve injury are caused by the leakage of cement through the bone causing heating and irritation of the radial nerve and another cause by stretching or contraction the radial nerve [11] .…”

Section: Discussionmentioning

confidence: 99%

Non-oncologic indication for elbow megaprothesis replacement: 2 cases report

Trung

Tran

et al. 2021

International Journal of Surgery Case Reports

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Introduction Treatment of elbow bone defects is still a huge challenge in orthopaedic in order to restore the shape and function of the elbow joint. Bone defect reconstruction is very difficult due to biomechanical complexity of the elbow joint and the poor coverage tissue of this area, so mega-prothesis can be considered the most optimal solution in these cases. Case report We present two clinical cases of megaprosthesis elbow replacement for treatment of bone defects caused by sequelae of trauma. There is one case of 3 cm bone defect at proximal ulna and one case of 3 cm bone defect at distal humerus. In the 1st case, the elbow joint is fusioned and the second case, the elbow joint is degenerated totally after 3 previous surgery. We performed total elbow replacement with a customized megaprosthesis for them. The Mayo elbow function assessment scale [1] pre-surgery was poor at 50 points. The average age is 35 years old. The mean post-operative follow-up time was 14 months. Range of elbow flexed motion was 135 degrees, both patients were maximally extension, the forearm pronation and supination were 90 and 75 degrees, respectively. The Mayo score is very good with 97,5 points. Both patients were completely satisfied with the postoperative results. Conclusion Our results show that megaprosthesis elbow replacement is a very effective option for cases large elbow bone defects due to trauma sequelae. However, careful preoperative preparation is required for the best outcome.

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Section: Discussionmentioning

confidence: 99%

Non-oncologic indication for elbow megaprothesis replacement: 2 cases report

Trung

Tran

et al. 2021

International Journal of Surgery Case Reports

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“…Primary traumatic RNP is the most common injury associated with shaft fractures of the humerus with an incidence of 11,8% [ 2 ]. Secondary traumatic and/or iatrogentic radial nerve damage after surgery (open reduction and internal plate fixation, intramedullary nailing, total elbow arthroplasties) may occur in up to 32% of patients who undergo surgical treatments at the humerus [ 3 , 4 ]. Iatrogenic RNP was observed in single cases after venipuncture, automatic blood pressure measurement, intramuscular injections and external fixation of the elbow as well [ 5 - 8 ].…”

Section: Discussionmentioning

confidence: 99%

Irreparable Radial Nerve Palsy Due to Delayed Diagnostic Management of a Giant Lipoma at the Proximal Forearm Resulting in a Triple Tendon Transfer Procedure: Case report and Brief Review of Literature

Schmidt¹

2017

TOORTHJ

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Background:Non-traumatic radial nerve palsy (RNP) caused by local tumors is a rare and uncommon entity.Methods:A 62-year-old female presented with a left non-traumatic RNP, initially starting with weakness only. It was caused by a benign giant lipoma at the proximal forearm that was misdiagnosed over a period of 2 years. The slowly growth of the tumor led to an irreparable overstretching-related partial nerve disruption. For functional recovery of the patient, a triple tendon transfer procedure had to be performed.Results:Four months after surgery, the patient was completely able to perform her activities of daily living again. At the 10-months follow-up, strength of wrist extension, thumb's extension and abduction, and long fingers II-V extension had all improved to grade 4 in Medical Research Council scale (0-5). In order to restore motion, the patient reported that she would undergo the same triple tendon transfer procedure a second time where necessary. Due to the initially misdiagnosed tumor, there was an overall delayed duration of time for functional recovery of the patient.Conclusion:The triple tendon transfer procedure offers a useful and reliable method to restore functionality for patients sustaining irreparable RNP. However, it must be noted critically with our patient that this procedure probably would have been avoided. Initially, there was weakness only by entrapment of the radial nerve. RNP caused by local tumors are uncommon but known from the literature, and so it should be considered generally in differential diagnosis of non-traumatic RNP.

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“…Biến chứng tổn thương thần kinh quay sau thay khớp khuỷu rất ít khi gặp, các tác giả trên thế giới cũng ít gặp biến chứng này. T.Waitzenegger và P. Mansat chỉ ra 2 nguyên nhân gây ra tổn thương thần kinh quay là do sự rò rỉ xi măng qua xương gây nóng hoặc kích thích thần kinh quay và nguyên nhân nữa là do sự căng giãn hoặc co rút của phần mềm [8].…”

Section: Bàn Luậnunclassified

Thay Khớp Khuỷu Megaprothesis Cho Trường Hợp Không Phải Ung Thư Xương: Báo Cáo Ca Lâm Sàng Hiếm Gặp

Trần,

Nguyễn

et al. 2024

VMJ

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Giới thiệu: Điều trị khuyết xương vùng khuỷu vẫn còn là một thách thức rất lớn trong chấn thương chỉnh hình nhằm phục hồi hình thể và chức năng của khớp khuỷu. Việc tái tạo xương khuyết là rất khó khăn do sự phức tạp về cơ sinh học của khớp khuỷu và phần mềm che phủ khu vực này rất kém, vì vậy thay khớp khuỷu megaprothesis có thể coi là giải pháp tối ưu nhất trong những trường hợp này. Ca lâm sàng: Chúng tôi giới thiệu 1 ca lâm sàng thay khớp khuỷu megaprothesis điều trị khuyết xương do di chứng chấn thương rất hiếm gặp. Bệnh nhân nữ 35 tuổi bị khuyết xương 3cm đầu xa xương cánh tay, mất vững hoàn toàn khớp khuỷu, không tự gấp duỗi chủ động được khuỷu tay. Thang điểm đánh giá chức năng khớp khuỷu Mayo [1] trước mổ đạt mức kém với 45 điểm, thời gian theo dõi sau mổ là 13 tháng. Kết quả sau mổ biên độ khớp khuỷu gấp chủ động đạt 130 độ, duỗi chủ động 0 độ, sấp cẳng tay chủ động 90 độ, ngửa cẳng tay chủ động đạt 70 độ, thang điểm đánh giá chức năng khớp khuỷu Mayo đạt mức xuất sắc với 95 điểm. Bệnh nhân hoàn toàn hài lòng với kết quả sau phẫu thuật. Kết luận: Kết quả của chúng tôi cho thấy thay khớp khuỷu megaprothesis là một lựa chọn rất hiệu quả với những trường hợp khuyết xương rộng vùng khuỷu do di chứng chấn thương. Tuy nhiên để có kết quả tốt nhất cần có sự chuẩn bị trước mổ kỹ lưỡng.

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Radial nerve palsy in surgical revision of total elbow arthroplasties: A study of 4 cases and anatomical study, possible aetiologies and prevention

Abstract: IV.

Cited by 10 publications

References 18 publications

Non-oncologic indication for elbow megaprothesis replacement: 2 cases report

Non-oncologic indication for elbow megaprothesis replacement: 2 cases report

Irreparable Radial Nerve Palsy Due to Delayed Diagnostic Management of a Giant Lipoma at the Proximal Forearm Resulting in a Triple Tendon Transfer Procedure: Case report and Brief Review of Literature

Thay Khớp Khuỷu Megaprothesis Cho Trường Hợp Không Phải Ung Thư Xương: Báo Cáo Ca Lâm Sàng Hiếm Gặp

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