Özet:

Goal: To determine healing rate of the radial nerve palsy associated with humeral shaft fracture treated surgically at a group of patients and to find the mean neurological healing time. To give off light the nerve healing process. Material and method: The radial palsies at 31 patients with humeral shaft fractures treated by some surgical fixations were evaluated retrospectively. The number of total radial nerve paralysis was 14 (% 45.2). Preoperative radial nerve paralyses were in 12 of the cases (% 38.7), while postoperative paralyses were two (% 6.5). All of the patients were performed surgical fixation and early radial nerve exploration. It was not required to repair the nerve for any patients with intact radial palsy. But for one transected radial nerve on the patient with gunshot injury was performed primary nerve repair. Results: 11 of the preoperative radial nerve paralyses and one postoperative case were healed spontaneously during 1.5-13 month (as clinical and electromiographical). The mean healing time was 7.5 months. After exploration, the nerve healing rate with additional suitable conservative treatment was 85.7 percent. One preoperative and one postoperative radial palsy were not healed. These patients were required to undergo some additional operations for tendon transfer. The final hand functions were enough.

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