Vikas SaxenaIf you found transected radial nerve during surgery, it would have been primarily prepared then only always. There is good chance of recovery as it is pure motor nerve. By the way how much time has elapsed since then?
Sai PrasadI had a similar case Mode of injury was,pt arm was hit by a branch of a tree, while he was riding on a bike Orif was done and repair of the nerve was done by a plastic surgeon We had lot of difficulty in finding the prox.end as it got retracted higher up in the arm, which shows the severity of trauma Pt is improving, 4months post op follow up
Parag RaiyaniDr Ashwini Sood sir…. u might have come across that kind of iatrogenic injuries because in this patient all extensor muscles were damaged. .. and sir if it is iatrogenic than we could have been able to find proximal end of it easily sir….
Ashwini Soodplease try to take it as a discussion.u were not able to repair the radial nerve because you could not find the proximal end ? If you had already diagnosed radial nerve injury pre-op then may be yu could have opted for posterior approach .
Ashit MehtaI had a similar case with RNP in closed fr shaft humerus middle third. I went postly never anticipating cut nerve as its not usual to get cut nerve at middle third shaft humerus. Found cut retracted nerve on table. Haf to call plastic surgron frd of mine who did primary repair. I think incidence is much more than literature mentions because we dont document it. I did not do it and m sure all who had such cases here would not have documented it.
Nisarg Raninga BhuroSir I had a similar case # shaft humerus with primary rnp, I hv opened from post RN was intact do plating, 2 months had gone no recovery yet, started oral steroid and methycobal but still no result, now wt to do?
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