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Is ulnar nerve transposition beneficial during open reduction internal fixation of distal humerus fractures?

April 26, 2017Beneficial distal fixation humerus Internal nerve reduction transposition ulnar

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Is ulnar nerve transposition beneficial during open reduction internal fixation of distal humerus fractures?

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OBJECTIVES: The purpose of this study was to compare the incidence of ulnar neuritis with and without ulnar nerve transposition during open reduction and internal fixation (ORIF) of distal humerus fractures. DESIGN: Multicenter retrospective cohort series. SETTING: Two Level I trauma centers. PATIENTS: Two cohorts were identified: 89 patients (mean age, 48.6 years) who had not undergone an ulnar nerve transposition and 48 patients (mean age, 43.2 years) who had undergone a transposition during ORIF of a distal humerus fracture (Orthopaedic Trauma Association 13A or 13C). INTERVENTION: All patients underwent ORIF of a distal humerus fracture with or without anterior subcutaneous ulnar nerve transposition based on surgeon preference. MAIN OUTCOME MEASURE: Presence or absence of ulnar neuritis (ulnar-sided paresthesias, numbness, or intrinsic weakness) or reoperation related to ulnar nerve symptoms. RESULTS: Average follow up was 9.6 months in the transposition group and 16.0 months in th

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OBJECTIVES: The purpose of this study was to compare the incidence of ulnar neuritis with and without ulnar nerve transposition during open reduction and internal fixation (ORIF) of distal humerus fractures. DESIGN: Multicenter retrospective cohort series. SETTING: : Two Level I trauma centers. PATIENTS: Two cohorts were identified: 89 patients (mean age, 48.6 years) who had not undergone an ulnar nerve transposition and 48 patients (mean age, 43.2 years) who had undergone a transposition during ORIF of a distal humerus fracture (Orthopaedic Trauma Association 13A or 13C). INTERVENTION: All patients underwent ORIF of a distal humerus fracture with or without anterior subcutaneous ulnar nerve transposition based on surgeon preference. MAIN OUTCOME MEASURE: Presence or absence of ulnar neuritis (ulnar-sided paresthesias, numbness, or intrinsic weakness) or reoperation related to ulnar nerve symptoms. RESULTS: : Average follow up was 9.6 months in the transposition group and 16.0 months i

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The purpose of this study was to compare the incidence of ulnar neuritis with and without ulnar nerve transposition during open reduction and internal fixation (ORIF) of distal humerus fractures.