Riassunto
è stato eseguito uno studio anatomico della paletta omerale e dei suoi rapporti con il nervo radiale e applicata la metodica chirurgica conseguente. L’epicondi — lo laterale costituisce la più sicura sede della vite distale e il repere rispetto al quale calcolare la distanza di sicurezza dal nervo. è possibile estendere l’esposizione della paletta in senso prossimale per almeno 6 cm senza interferire con il decorso del radiale. Questo impianto, privo di limitazioni articolari, può essere utilizzato anche nel trattamento delle fratture distali, evitando il fissatore a ponte o dinamico vincolato sull’ulna.
Abstract
We conducted an anatomical study on the distal humerus and on its relations with the radial nerve, and applied a consequent surgical method to increase the construction’s stability and safety. The lateral epicondyle is a safe implant spot for the most distal screw, and it represents the mark from which to calculate the safety distance from the nerve. It is possible to extend the surgical access proximally for at least 6 cm without interfering with the radial nerve’s path. This implant, with no articular limitations, can be used for the treatment of distal fractures as well, thus avoiding the bridged or the dynamic external fixation bound to the ulna.
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Massobrio, M., Albanese, P., Antonietti, G. et al. Paletta omerale e fissazione esterna: studio anatomico e clinico. Aggiornamenti 18, 77–84 (2012). https://doi.org/10.1007/s10351-012-0013-1
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DOI: https://doi.org/10.1007/s10351-012-0013-1