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Titolo:
INCIDENCE OF SCIATIC-NERVE INJURY IN OPERATIVELY TREATED ACETABULAR FRACTURES WITHOUT SOMATOSENSORY-EVOKED POTENTIAL MONITORING
Autore:
MIDDLEBROOKS ES; SIMS SH; KELLAM JF; BOSSE MJ;
Indirizzi:
CAROLINAS MED CTR,DEPT ORTHOPAED SURG,POB 32861 CHARLOTTE NC 28232
Titolo Testata:
Journal of orthopaedic trauma
fascicolo: 5, volume: 11, anno: 1997,
pagine: 327 - 329
SICI:
0890-5339(1997)11:5<327:IOSIIO>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Keywords:
ACETABULAR FRACTURE REPAIR; INTRAOPERATIVE ELECTROMYOGRAPH MONITORING; IATROGENIC SCIATIC NERVE INJURY; INTRAOPERATIVE SOMATOSENSORY EVOKED POTENTIAL (SSEP) MONITORING;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
10
Recensione:
Indirizzi per estratti:
Citazione:
E.S. Middlebrooks et al., "INCIDENCE OF SCIATIC-NERVE INJURY IN OPERATIVELY TREATED ACETABULAR FRACTURES WITHOUT SOMATOSENSORY-EVOKED POTENTIAL MONITORING", Journal of orthopaedic trauma, 11(5), 1997, pp. 327-329

Abstract

Objective: The authors investigated the incidence of sciatic nerve injury associated with the operative repair of acetabular fractures without somatosensory evoked potential(SSEP) monitoring. Design: Retrospective case review of prospectively documented pre-and postoperative physical examinations. Setting: A level I trauma hospital. Patients: All the cases were reviewed of patients with open reduction and internal fixation of acetabular fractures who underwent posterior or extensile approaches (129) performed by the three senior authors from January 1991 through March 1995. Intervention: Intraoperative SSEP monitoring wasnot used during any of the procedures. The procedures included sixty-five Kocher-Langenbeck approaches, thirty-four combined Kocher-Langenbeck and iliofemoral approaches, four extended iliofemoral approaches, and four triradiate approaches. Results: One case of iatrogenic nerve injury resulted in a sensory deficit. No patient suffered an exacerbation of a preexisting nerve injury. Conclusion: The results of this study indicate that open reduction and internal fixation of acetabular fractures, using current techniques with visualization and protection ofthe sciatic nerve, can reduce the incidence of neurologic injury to anegligible level. There does not appear to be justification for the addition of SSEP or electromyograph modalities to the operative routineof experienced surgeons.

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Documento generato il 30/11/20 alle ore 03:34:33