Treatment of the humeral fracture complicated by the ulnar and radial nerve neuropathy

Abstract

The authors presented a clinical case of a female patient, 29 years old, who admitted with comminuted humeral shaft fracture, concomitant iatrogenic injury of the ulnar and radial nerve after two surgeries made at the place of residence using the Ilizarov rod fixator. They performed the following surgical intervention: the fixator dismounting, re-osteosynthesis with the Ilizarov wire fixator. Epineural electrodes were fitted using punctures. Postoperatively the patient underwent a course of electrical stimulation by electrodes and skin leads for two months, vascular therapy, exercise therapy, massage, she received Group B vitamins, Prozerinum. The electrodes were removed on Day 57 after fitting. The fixation period using the fixator was 139 days. The function of the wrist, that of the first finger, and the hand sensitivity recovered.