Rarely seen radial nerve total injury with humerus supracondylar type IIIA open fracture in a child: Our five-year follow-up results
Duran Topak
, Ökkeş Bilal, Fatih Doğar, Mustafa Abdullah Özdemir
Department of Orthopedics and Traumatology, Kahramanmaraş Sütçü Imam University Faculty of Medicine, Kahramanmaraş, Turkey
Keywords: Humerus supracondylar fracture, microsurgery open fracture, radial nerve injury
Abstract
Supracondylar humerus fractures, typically caused by falling with an arm outstretched and landing on an open palm, are among the most common childhood injuries. We present a rarely seen eight-year-old patient diagnosed with a Gustilo-Anderson type IIIA open, Gartland type IV left supracondylar humerus fracture with radial nerve total injury in contact with the external environment where the injury nerve endings were clean. The open humerus supracondylar type IIIA fracture was treated by open reduction and fixation with performed using Kirschner wires and the radial nerve was repaired using microsurgical techniques. In conclusion, excellent functional and cosmetic outcomes can be achieved clinically by surgical debridement, irrigation with saline solutions, and appropriate antibiotherapy as prophylaxis for an unstretched primary repair of the radial nerve in an open supracondylar humerus fracture that exposed the radial nerve.
Citation: Topak D, Bilal Ö, Doğar F, Özdemir MA. Rarely seen radial nerve total injury with humerus supracondylar type IIIA open fracture in a child: Our five-year follow-up results. Jt Dis Relat Surg Case Rep 2022;1(1):39-42.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.