Results of the Autogenous Sural Nerve Graft for Ruptured Radial Nerve in the Closed Humerus Shaft Fracture

Journal of the Korean Society for Surgery of the Hand 2005;14(2):138-143.
Published online October 31, 2005.

Jun-Mo Lee, M.D., Jong-Hyuk Park, M.D., Young-Jin Lim, M.D.

상완골 골절과 동반된 요골 신경 손상에서 자가 비복 신경 이식술의 결과

이준모·박종혁·임영진

Abstract

  In the high radial nerve palsy caused by displaced humeral shaft fracture, radial nerve have to be explored in the fracture site. 5 cases of the ruptured radial nerve at the fracture site of the humerus from January 1993 through January 2005 were treated at first by open reduction and internal fixation with plates and screws fixation and then defective radial nerves were grafted with autogenous sural nerves by microsurgical epineurial and or perineurial neurorrhaphy. At average 30.4 months follow-up, 5 cases were recovered from motor and sensory deficit with solid bony union of the humerus shaft fracture.
  Authors have confirmed that ruptured radial nerve in the humerus shaft fracture grafted with autogenous sural nerve with microsurgical epineurial and or perineurial neurorrhaphy would be expected good motor and sensory recovery.

Key Words: Radial nerve, Autogenous sural nerve, Neurorrhaphy