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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Hohenberger, GM; Lipnik, G; Schwarz, AM; Grechenig, P; Holter, M; Weiglein, AH.
Minimally invasive plate osteosynthesis of the humeral shaft with regard to adjacent anatomical characteristics.
Sci Rep. 2022; 12(1):279 Doi: 10.1038/s41598-021-04041-w [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Hohenberger Gloria
Lipnik Georg
Schwarz Angelika
Co-Autor*innen der Med Uni Graz
Grechenig Peter Franz
Holter Magdalena
Weiglein Andreas
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Abstract:
The study goal was to evaluate the distances from the radial (RN), the musculocutaneous (MN) and axillary nerves (AN) and the medial neurovascular bundle of the upper arm to a minimally invasive applied plate and to define its relation to the RN during different degrees of malrotation during MIPO. The sample involved ten upper extremities. Application of a PHILOS plate was performed through a Delta-split. Intervals between the AN, MN, RN and the medial vascular bundle were defined at various positions. The humeral shaft was artificially fractured at a height of about the mean of the plate. The distal fragment was brought into 15° and 30° internal (IR) as well as external rotation (ER) and here, the plate's relation to the RN was evaluated. The medial neurovascular bundle intersected the plate at its distal part in two specimens. Regarding the distances from the RN to the plate during different rotation positions the distances became significantly longer during ER, respectively shorter during IR. The medial neurovascular bundle and the RN were identified as the main structures at risk. Care must be taken during distal screw placement and malrotation exceeding 15° must be avoided during MIPO.
Find related publications in this database (using NLM MeSH Indexing)
Aged - administration & dosage
Aged, 80 and over - administration & dosage
Bone Plates - administration & dosage
Bone Screws - administration & dosage
Cadaver - administration & dosage
Fracture Fixation, Internal - adverse effects, instrumentation
Fracture Healing - administration & dosage
Humans - administration & dosage
Humeral Fractures - pathology, surgery
Humerus - injuries, pathology, surgery
Middle Aged - administration & dosage
Minimally Invasive Surgical Procedures - administration & dosage
Peripheral Nerve Injuries - etiology
Radial Nerve - injuries

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