[PDF] Utilization of axillary brachial plexus block in the postoperative rehabilitation of intra-articular fractures of the distal humerus. | Semantic Scholar (2024)

To make the rehabilitation treatment appropriate and effective, it is necessary that physiatrist and therapist are aware of many clinical informations about that specific patient and fracture: mechanism of trauma, surgical approach, type and stability of the synthesis, any additional surgical procedures and the state of the periarticular soft tissues.

The high risk of complications in olecranon osteotomy must be considered in the decision to perform this procedure in the treatment of DHF, due to the locally complex osseous and soft tissue anatomy.

A comprehensive treatment plan that includes ROM exercises, cryotherapy, and strengthening of grip using a robotic glove for a patient who had a wrist drop and underwent ORIF surgery was effective in speeding up the return of functional abilities and improving function in ADLs.

It is concluded that distal humerus plating using the perpendicular technique with standard-sized medial plates shows the least amount of overlap over the medial and lateral collateral ligaments.

This perivascular axillary block technique used for regional anaesthetic blocks for hand surgery is reliable with a high success rate, has few complications and can be used in areas without ultrasound or nerve stimulators.

Durch die Verwendung des Ultraschalls bei der Anlage der Regionalanästhesie (USGRA) wurden ältere Verfahren, die durch hohe Komplikationsraten in Vergessenheit geraten waren, wieder entdeckt.

Functional results are satisfactory in distal humerus fractures treated with stable osteosynthesis and parallel-plate technique that allow early active motion.

Careful examination of nervous deficits and early stable internal fixation with routine exposure of the ulnar nerve is recommended in the management of this injury.

The results suggest that age, gender, infections, infection, preservation of neural function, successful rigid fixation, an anatomic restoration of the joint surface, and early rehabilitation are effective factors on the functional outcome.

Of 29 adult patients with distal humeral fractures treated in teaching hospitals, 22 obtained acceptable results, and the most important indicator of end result was the starting time of physiotherapy.

The preferred surgical exposure was a posterior "U" incision with extraarticular olecranon osteotomy that provided good visualization and facilitated anatomic restoration in these complex fractures.

Old age is not a contraindication to open reduction and internal fixation; it is important to restore full function in patients with distal mostly intraarticular humeral fractures by open reduction.

When stability of the humeral columns is achieved and the articular platform is reconstructed, satisfactory results can be obtained, even in comminuted supracondylar fractures, however, age over 50 years, poor bone quality, and open fracture are correlated with increased risk for an inferior postoperative result.

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