Fracturas diafisarias de húmero y parálisis radial

Abstract

Radial paralysis is a complication as frequent as feared in diaphyseal fractures of the humerus. It occurs with a similar incidence in both the fractures of the middle third and those of the distal third. Therefore, the so-called primary radial paralysis, described at the time of the trauma, as the secondary, produced after a surgical gesture or conservative treatment, are a matter of controversy among the different authors when dealing with it. The literature only evidence that the primary paralysis that occurs after high energy trauma and in open fractures are candidates for early revision surgery, below two weeks of the nerve due to the high rates of nerve lacerations. The decision to follow in secondary radial paralysis is even more controversial although seems to be consensus in the revision surgery when this occurs post-manipulation. Among the different surgical techniques used today for the stabilization of these fractures, the MIPO technique is by far the one that less cause radial nerve injury compared to open surgery and intramedullary nailing.