{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:30:11Z","timestamp":1763465411719,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: Our aim was to assess the results of posterior retraction technique to prevent iatrogenic radial nerve injury during humeral fracture surgery.\\r\\nMethods: Seventy-two patients who underwent surgery for a distal humerus fracture between 1996 and 2002 were reviewed. These 72 patients comprised Group 1. Following a cadaveric study on the vascularization of the radial nerve, a modified surgical approach was undertaken starting in 2002. Sixty-one patients who underwent this new surgical approach were included in Group 2. The rates of radial nerve deficit of the groups were compared using the Pearson chi-square test. \\r\\nResults: In Group 1, 19 iatrogenic nerve deficits occurred. After defining the blood circulation of the nerve, the lateral approach was modified. The anterolateral side of the nerve was released and the nerve was left attached to the triceps muscle. In Group 2, one patient developed postoperative transient nerve deficit. \\r\\nConclusion: The radial nerve is supplied by the branches of the deep brachial artery in close relation with the triceps muscle. Anterior dissection and posterior retraction of the radial nerve during lateral approach may preserve its blood supply and reduces the risk of iatrogenic injury.\n\n\u00d6zet\n\nAma\u00e7: \u00c7al\u0131\u015fmam\u0131z\u0131n amac\u0131, humerus k\u0131r\u0131\u011f\u0131 cerrahisi s\u0131ras\u0131nda iyatrojenik radial sinir hasar\u0131 geli\u015fmesini \u00f6nlemek i\u00e7in ba\u015fvurulan posterior retraksiyon tekni\u011finin sonu\u00e7lar\u0131n\u0131 de\u011ferlendirmekti.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Bu \u00e7al\u0131\u015fmada 1996-2002 y\u0131llar\u0131 aras\u0131nda cerrahi olarak tedavi edilen distal humerus k\u0131r\u0131kl\u0131 72 hasta \u201cGrup 1\u201d olarak de\u011ferlendirildi. Radial sinirin arteriyel beslenmesinin g\u00f6sterilmesi i\u00e7in yap\u0131lan kadavra \u00e7al\u0131\u015fmas\u0131 sonras\u0131, modifiye bir cerrahi yakla\u015f\u0131m tercih edildi. Diseksiyon bulgular\u0131na g\u00f6re bu yeni cerrahi yakla\u015f\u0131m ile 2002 y\u0131l\u0131 sonras\u0131 opere edilen 61 hasta \u201cGrup 2\u201d olarak de\u011ferlendirildi. Gruplar\u0131n radial sinir yaralanmas\u0131 oranlar\u0131 Pearson ki-kare testi kullan\u0131larak kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131. \\r\\nBulgular: Grup 1\u2019de 19 iyatrojenik sinir hasar\u0131 g\u00f6r\u00fcld\u00fc. Sinirin kan dola\u015f\u0131m\u0131 ve beslenmesi tan\u0131mland\u0131ktan sonra lateral yakla\u015f\u0131m de\u011fi\u015ftirildi. Sinirin triseps kas\u0131 ile olan kom\u015fulu\u011fu korunarak sadece anterolateral k\u0131sm\u0131 serbestle\u015ftirildi. Grup 2\u2019de bir hastada ameliyat sonras\u0131 ge\u00e7ici iyatrojenik sinir hasar\u0131 geli\u015fti. \\r\\n\u00c7\u0131kar\u0131mlar: Radial sinir triseps kas\u0131n\u0131n kom\u015fulu\u011funda seyreden derin brakiyal arterin verdi\u011fi dallar ile beslenir. Sinirin anterior diseksiyonu ve cerrahi s\u0131ras\u0131nda kasla birlikte posteriora ekarte edilmesi, lateral giri\u015fimlerde sinirin beslenmesini koruyarak iyatrojenik yaralanma riskini azalt\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2012.2564","type":"journal-article","created":{"date-parts":[[2012,3,27]],"date-time":"2012-03-27T15:17:41Z","timestamp":1332861461000},"page":"8-12","source":"Crossref","is-referenced-by-count":8,"title":["Avoiding iatrogenic radial nerve injury during humeral fracture surgery: a modified approach to the distal humerus"],"prefix":"10.5152","volume":"46","author":[{"given":"Ahmet","family":"Ozgur Yildirim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozdamar","family":"Fuad Oken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vuslat","family":"Sema Unal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Firat Esmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Gulcek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Ucaner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2570\/2526","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:27:35Z","timestamp":1763465255000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2570"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2012,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2012.2564","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}