gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Artikel

Artikel empfehlen

Excellent functional recovery of posterior interosseous nerve injury after periprosthetic radial fracture by using antebrachial cutaneous nerve graft

Meeting Abstract

Suche in Medline nach

  • presenting/speaker Jento Wang - Tainan Municipal Hospital, Tainan City, Taiwan

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1547

doi: 10.3205/19ifssh0442, urn:nbn:de:0183-19ifssh04427

Veröffentlicht: 6. Februar 2020

© 2020 Wang.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Background: The early diagnosis of posterior interosseous nerve (PIN) injury is difficult if combined with bony fracture. Autologous nerve grafting is gold standard when a nerve gap exists, but the result is unpredictable.

Aim and Objectives: We reported a case of periprosthetic radial fracture leading to PIN gap which was reconstructed by ipsilateral antebrachial cutaneous nerve. Excellent functional recovery was achieved at 1-year follow-up.

Methods: A 16-year-old female patient suffered from periprosthetic radial fracture due to repeated trauma over left forearm. During exploration, a 2-cm gap was identified in PIN. Lateral antebrachial cutaneous nerve (LACN) in the same operation field was used to reconstruct the nerve defect by double cable nerve graft

Results: Comprehensive rehabilitation program and electrical nerve stimulation were initiated since post-operative 2 weeks. One year after operation, full functional recovery was achieved in all digits. No sensory deficit was observed over lateral forearm.

Conclusion: PIN injury in prosthetic radial fracture is rare but noteworthy issue. LACN is an ideal donor nerve with minimal sensory loss. Excellent functional recovery results from early diagnosis, suitable reconstruction, and comprehensive rehabilitation programs.