Ortopedia, traumatologia, rehabilitacja最新文献

{"title":"Laser-Guided Intraoperative Navigation in Total Ankle Replacement Surgery.","authors":"Chayanin Angthong,&nbsp;Kittipong Wattanasirisombat,&nbsp;Yudha Manggala,&nbsp;Prasit Rajbhandari","doi":"10.5604/01.3001.0016.1314","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1314","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effectiveness of laser-guided intraoperative navigation compared with the conventional method in determining the accuracy of coronal alignment setting in total ankle replacement (TAR).</p><p><strong>Material and methods: </strong>Sixteen cadaveric ankles were randomly divided into two groups: laser-guided and conventional. Measurements were performed following coronal alignment setting in each ankle. All parameters were collected and compared between the two groups to determine the accuracy of coronal alignment setting regarding localization of possible mechanical axis (PMA) from each method. These parameters included the distance from the most medial point of tibial surface (TS) (intra-articular part) to the marked point that was possibly close to MA (MM-PMA).</p><p><strong>Results: </strong>There were no significant differences between the two groups; however, there was a trend toward more neutralization of PMA in the laser-guided group in terms of MM-PMA distance (P = 0.19). In addition, the ratio of MM-PMA to TS demonstrated that the axis closer to the actual mechanical axis (AMA) with medial deviation was only 0.6% in laser group, whereas the axis caused increased lateralization from AMA in the conventional group, which was as high as 4.4% (P = 0.15).</p><p><strong>Conclusion: </strong>Despite the limited sample size and insignificant differences of outcomes between the two groups, laser-guided intraoperative navigation provided higher accuracy of coronal alignment setting than the conventional method in TAR.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 5","pages":"299-303"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10371623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guidelines of prevention, recognition and treatment of osteoporotic bone fractures.","authors":"Tomasz Mazurek,&nbsp;Jarosław Czubak,&nbsp;Edward Czerwiński","doi":"10.5604/01.3001.0016.0589","DOIUrl":"https://doi.org/10.5604/01.3001.0016.0589","url":null,"abstract":"<p><p>Population aging makes osteoporotic fractures (OP) an increasingly serious healthcare problem. It is estimated that there are approximately 2,200,000 people with an osteoporotic fracture in Poland, and according to the NFZ (National Health Found) report 126,100 new fractures were registered in 2018, including 34,700 fractures of the proximal femur (PFF). Surgical treatment of OP fractures is difficult due to local conditions and the general health condition of the patients. Reduced bone strength makes it difficult to achieve permanent bone fixation and union.The current &quot;Guidelines for the prevention, diagnosis and treatment of osteoporotic bone fractures&quot; is an update of the 2017 version (previous versions: 2007, 2012) taking into account the progress made in this area of knowledge and practice. The latest principles of conduct have been created on the basis of contemporary world standards and publications. The recommended methods of treating fractures will be discussed: of the PFF, distal end of the radius, proximal end of the humerus and the spine. Particular attention has been paid to the management of patients with PFF, because the average age - 80 years causes that an average of 29.4% of patients in Poland die within a year after the fracture (data from the National Health Fund). After sustaining a fracture, the risk of a consecutive one increases 210 times, so the surgeon is required not only to treat the fracture, but also to implement fracture prophylaxis. The study will also present the principles of diagnosis and treatment of osteoporosis.The presented guidelines were adopted in August 2022 as an official document of the National Consultant in the field of Orthopedics and Traumatology of the bone and joints system and the President of the Polish Society of Orthopedics and Traumatology. The leading author was Prof. dr hab. med. Edward Czerwiski.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 4","pages":"281-292"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10599959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Humeral Shaft Fractures in Children Incidence, Management and Treatment Effects.","authors":"Łukasz Wiktor,&nbsp;Ryszard Tomaszewski","doi":"10.5604/01.3001.0015.9986","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9986","url":null,"abstract":"<p><strong>Background: </strong>Humeral shaft fractures are relatively rare in children, with incidence between 0.4% and 3% of all fractures in children and between 10% and 20% of all humeral fractures. The purpose of our study was to retrospectively evaluate all humeral shaft fractures treated at children&apos;s trauma center from january 2012 till december 2021.</p><p><strong>Material and methods: </strong>We retrospectively evaluated the group of 104 skeletally immature patients with humeral shaft fracture treated in our hospital. We have analyzed: age; sex; fracture type, management; time of bone healing; final effect and complications.</p><p><strong>Results: </strong>The non-surgical group consisted of 73 patients (27 girls and 46 boys) with an average age of 8.03 (0.6 - 17.7), while the surgical group consisted of 31 patients (16 girls and 15 boys) with an average age of 12.47 (5,7- 17.8). The mean follow-up was 7.65 months (4-12) in non-surgical group, and 13.38 months (4-24) in surgical group. We have analyzed the results statistically, confirming increase the frequency of the above-mentioned fractures and increase the number of patients treated with surgery. We achieved good effect in all patients.</p><p><strong>Conclusions: </strong>1. Humeral shaft fractures in children are relatively rare. Although in recent years, we have observed an increase of their frequency; 2. The vast majority of humeral shaft fractures are treated non-surgically with good clinical results; 3. Increase of number of patients treated surgically has been noticeable in the last decade; 4. Surgery is associated with a relatively low risk of complications and allows for cast withdrawal, which significantly improves the patients comfort.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 4","pages":"251-261"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10599956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation Between Foot Arch Parameters and Body Balance Performance.","authors":"Justyna Rdzanek,&nbsp;Jakub Świątek,&nbsp;Michał Wychowański","doi":"10.5604/01.3001.0015.9990","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9990","url":null,"abstract":"<p><strong>Background: </strong>The foot is one of the most important anatomical structures of the human body. It is mainly responsible for maintaining an appropriate position, both in static and dynamic conditions. This function is conditioned by many factors, the most important being a normal shape of the foot arch, which determines its proper operation. Any deviation from the norm may result in disruption in the performance of the foot and affect the functioning of even distant segments of the human body. The aim of this study was to evaluate the correlation between the foot arches and the efficiency of the balance mechanism in standing.</p><p><strong>Material and methods: </strong>The study enrolled 48 individuals, of whom 21 were women and 27 men. Evaluation of the foot arches was performed using Clarke&apos;s angle index, which was determined with the use of a mirror podoscope produced by Podoskop.pl and a specialist computer program FREEstep. The efficiency of the balance mechanism in the standing position was evaluated on the basis of six stabilographic tests.</p><p><strong>Results: </strong>A statistical analysis showed a significant relationship between the mean value of Clarke&apos;s angle index in bipedal standing and the result of the stabilographic test for bipedal standing with eyes closed, and between the value of Clarke&apos;s angle index for the left foot in bipedal standing and the result of stabilographic tests for bipedal standing both with the eyes open and closed.</p><p><strong>Conclusion: </strong>1. There is a correlation between the value of Clarke&apos;s angle index of the foot in bipedal standing and the length of the foot pressure path on the ground during bipedal standing. 2. Individuals with a reduced plantar vault of the foot have reduced efficiency of the balance mechanism in bipedal standing both with the eyes open and closed. The above observations can be generalised as follows: individuals with more arched feet have better balance control in bipedal standing. 3. Persons with more arched feet have better balance control in bipedal standing.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 4","pages":"263-272"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10599958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pseudotumor as a Complication of Total Hip Replacement.","authors":"Sławomir Dudko,&nbsp;Damian Kusz,&nbsp;Konrad Kopeć,&nbsp;Piotr Wojciechowski,&nbsp;Katarzyna Kwiatkowska,&nbsp;Dawid Niemiec","doi":"10.5604/01.3001.0015.9991","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9991","url":null,"abstract":"<p><p>Total hip arthroplasty with metal-on-metal bearing is associated with specific complications: local delayed hypersensitivity reaction (ALVAL) to metal particles, osteolysis and the development of pseudotumors. This process results from the low resistance of the metal bearing to abrasion and corrosion, which causes the release of metal ions into the surrounding tissues. This paper presents the case of a 54-year-old man who required revision surgery due to aseptic loosening of the endoprosthesis with a ceramic (TiN)-on-metal bearing. The removed implants were subjected to material analysis. Mean chemical analysis revealed that the main component of the residue samples was titanium, which constituted 65% of the sample weight, followed by calcium (16%), phosphorus (11%) and aluminum (3.8%). The fissures on the insert were a result of trauma caused by the head, with both elements matching in terms of visible damage. More than 50% of the surface of the head had been damaged due to abrasive wear. The transitional area between the normal and completely delaminated TiN coating shows uneven abrasion, a gradual decrease in coating thickness. In conclusion, the use of endoprosthesis heads with TiN ceramic coating involves very low polyethylene wear. The low resistance of TiN ceramic coating to trauma and the fragility of this coating prevent the use of TiN-coated heads in combination with any non-polyethylene hip endoprosthesis inserts.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 4","pages":"273-280"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10226629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthroscopic Latarjet Procedure With 2-Screw Stabilization: Results of Treatment of 156 Cases with a Minimum of 2-Year Follow-Up. Multicenter Study.","authors":"Roman Brzóska,&nbsp;Adrian Błasiak,&nbsp;Wojciech Solecki,&nbsp;Hubert Laprus,&nbsp;Maciej Kiciński,&nbsp;Andrzej Grzegorzewski,&nbsp;Bartłomiej Kordasiewicz","doi":"10.5604/01.3001.0015.9967","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9967","url":null,"abstract":"<p><strong>Background: </strong>Various arthroscopic stabilization procedures are associated with recurrence rates ranging from 10.8% to 21.1%. Recurrences occur especially in young male patients participating in contact sport activities. Bony defects of the humeral head and the glenoid predispose not only to subsequent dislocations but also to failure of surgical treatment. This is the group where &quot;bony&quot; procedures such as arthroscopic Latarjet are recommended to provide better stability as the primary treatment.</p><p><strong>Material and methods: </strong>Patients with traumatic unidirectional anterior shoulder instability treated from 2009 to 2016 with an arthroscopic Latarjet procedure operated on in two centres. Clinical results, including range of motion, Subjective Shoulder Value and Walch-Duplay score, and postpoperative complications were evaluated.</p><p><strong>Results: </strong>156 patients were available for follow-up at a minimum of 2 years after surgery. The mean follow-up was 4318 months. Mean age at the time of surgery was 27.9 (16-53) years. At final follow-up, 8 cases of recurrent instability were identified, including 6 cases of recurrent dislocation and two cases of recurrent subluxation. Mean Walch-Duplay score increased from 3019 preoperatively to 8316 (p&lt;0.05) at the last follow-up. An average loss of external rotation of 11.8 (0-70) (p&lt;0.05) when compared with the contralateral shoulder was observed at the last follow-up. Mean Subjective Shoulder Value score was 92.89.4%. 8 (5%) patients presented with loss of shoulder stability. 25 (15.8%) patients reported subjective return to sport anxiety. Eleven (7%) patients complained of anterior compartment pain. The total number of revision surgeries was 14 (8.9%).</p><p><strong>Conclusions: </strong>1. The arthroscopic Latarjet procedure can achieve satisfactory clinical outcomes for the treatment of anterior shoulder instability 2. The rate of complications and recurrence does not increase with time and is comparable at a minimum of 2 years follow-up to early results described in literature.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 4","pages":"223-237"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10599957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reverse Shoulder Arthroplasty in Osteoarthritis Evaluation of the Results.","authors":"Anna Porwoł,&nbsp;Przemysław Bereza,&nbsp;Wojciech Marszałek,&nbsp;Damian Kusz","doi":"10.5604/01.3001.0015.9983","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9983","url":null,"abstract":"<p><strong>Background: </strong>The aging structure of society results in a growing need for treatment of shoulder osteoarthritis. Reverse shoulder arthroplasty (RSA) has been developed to improve the motor function and strength of the shoulder joint without increasing the risk of dislocation. The aim of the study was to assess the change in quality of life and functional assessment of the shoulder joint after RSA in patients with osteoarthritis, based on the Oxford Shoulder Score (OSS) and an assessment of joint mobility parameters.</p><p><strong>Material and methods: </strong>A total of 10 patients were admitted to our centre for shoulder arthroplasty between August 2020 and October 2021. The assessment of the degenerative changes was based on the Walch classification and the Samelson &amp; Prieto classification. The OSS questionnaire was used to assess function of the affected shoulder joint and pain in each patient. The range of motion in the shoulder joint was assessed in the pre- and postoperative period. A follow-up examination was performed approximately 6 months after surgery.</p><p><strong>Results: </strong>Analysis of the OSS scores revealed a mean value of 46 points preoperatively and 25 points postoperatively. The OSS scores six months after the procedure were an average of 20.5 points lower. A statistically significant improvement was noted in shoulder flexion (mean 37), abduction (42), external rotation (34), and internal rotation (5)(p&lt;0.05).</p><p><strong>Conclusion: </strong>Each patient reported reduced pain and demonstrated an increased range of motion in the affected shoulder joint and functional improvement.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 4","pages":"239-249"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10593459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Microbiological and Clinical Findings of Two-Stage Revision Arthroplasty Performed Due to Prosthetic Joint Infection.","authors":"Przemysław Bereza,&nbsp;Alicja Ekiel,&nbsp;Małgorzata Aptekorz,&nbsp;Damian Kusz,&nbsp;Gajane Martirosian","doi":"10.5604/01.3001.0015.9055","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9055","url":null,"abstract":"<p><strong>Background: </strong>Two-stage revision arthroplasty remains the main surgical strategy for the treatment of prosthetic joint infections (PJI). Sonicate fluid culture has improved sensitivity compared to standard periprosthetic tissue culture, but its usefulness is questionable during the second stage of revision arthroplasty.</p><p><strong>Material and methods: </strong>Twenty-seven patients with prosthetic joint infection were investigated. Tissue and sonicate fluid cultures were examined to detect bacteria on the removed spacer during the second stage of exchange arthroplasty. Microbiological findings were analyzed and patients were assessed within an average of 5 years follow up.</p><p><strong>Results: </strong>Tissue cultures in second-stage revision arthroplasties were positive in 6/27 cases (22.2%) growing CNS in 4 cases (14.8%), Staphylococcus aureus in 1 case (3.7%), and Enterococcus faecalis in 1 case (3.7%). In 3 cases (11.1%) infection was identified as a result of a sonication procedure. Clinical failures at final follow-up were recorded in 4 (14.8%) patients, with reinfection noted in 3 of them. Arthrodesis and spacer exchange followed by suppressive antibiotic therapy were performed in 2 cases.</p><p><strong>Conclusions: </strong>1. Tissue cultures remain the gold standard in diagnosis of PIJ although a negative culture does not rule out the presence of bacteria on spacers removed during second stage revision for PJI. 2. Sonication appears to have limited ability to detect persistent infection before reimplantation and was not associated with recurrent infection; however, it can be considered a complementary method that could make it possible to identify new microorganisms and facilitate the selection of appropriate treatment options. 3. The positive results of sonication should be interpreted as the detection of actual pathogens in the light of the clinical, microbiological and histopathological data, especially for patients with immunodeficiency.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 3","pages":"163-179"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9450621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Results of Cementless Hip Joint Arthroplasty with the Straight Zweymller Stem.","authors":"Marek Drobniewski,&nbsp;Marek Synder,&nbsp;Magdalena Krasińska,&nbsp;Andrzej Borowski","doi":"10.5604/01.3001.0015.9053","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9053","url":null,"abstract":"<p><strong>Background: </strong>Total cementless hip joint arthroplasty is a method commonly used in the treatment of advanced hip osteoarthritis. The aim of this paper is to present the early results of hip joint arthroplasty with the straight Zweymller stem.</p><p><strong>Materials and methods: </strong>The study enrolled 117 patients (64 women and 53 men) who underwent a total of 123 hip joint arthroplasties with the straight Zweymller stem. The mean age of the patients at surgery was 60.8 years (range: 26-81 years). The mean follow-up period was 7.7 years (range: 5-12.6 years).</p><p><strong>Results: </strong>Pre-operative Merle dAubigne-Postel scores (modified by Charnley) of the study group were poor in all patients. Mean post-operative improvement was 6.3 points. The outcomes were classified as excellent in 42 cases (34.15%), good in 56 cases (45.53%), satisfactory in 14 (11.38%) and poor in 11 cases. Poor results were always associated with implant loosening. Heterotopic ossification was noted in 8 cases (6.5%). According to the Kaplan-Meier estimator, 5-year survival probability was 91.1% for the whole implant and 95.1% for the stem alone.</p><p><strong>Conclusions: </strong>1. Our follow-up data (from a mean follow-up period of more than 7 years) indicate that the straight Zweymller stem affords excellent clinical and functional results in patients operated on for advanced hip osteoarthritis. 2. In patients correctly qualified for this procedure, with good surgical technique and in the absence of complications, the risk of aseptic loosening is minimal. 3. As only medium-term follow-up data are available, there may be more cases of loosening (mainly of the acetabular cup) over time, indicating a need of regular long-term follow-up.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 3","pages":"149-162"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9450623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radial Nerve Palsy in Paediatric Humeral Shaft Fractures: Incidence and Management.","authors":"Łukasz Wiktor,&nbsp;Ryszard Tomaszewski","doi":"10.5604/01.3001.0015.9063","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9063","url":null,"abstract":"<p><strong>Background: </strong>Humeral shaft fractures are relatively rare in the paediatric population. The purpose of our study was to retrospectively evaluate all humeral shaft fractures treated at a children&apos;s trauma centre and assess cases involving radial nerve injury.</p><p><strong>Material and methods: </strong>We retrospectively evaluated a group of 5 skeletally immature patients with radial nerve palsy out of a total of 104 patients with humeral shaft fractures treated in our hospital between January 2011 and December 2021.</p><p><strong>Results: </strong>The study group consisted of four boys and one girl aged 8.6 to 17.2 years (average age 13.6). Mean follow-up duration was 18.4 months. We diagnosed two open and three closed fractures. There were two cases of neurotmesis, two cases of nerve entrapment within the fracture site and one case of neuropraxia. Bone union and functional recovery was achieved in all five patients.</p><p><strong>Conclusions: </strong>1. Humeral shaft fractures complicated with radial nerve palsy are a challenging medical problem; 2. The incidence of radial nerve injury in the paediatric population is significantly lower than in adults; in our study, it accounted for 4.8% of all humeral shaft fractures; 3. Expectant observation without nerve exploration is reasonable in fractures caused by a low-energy trauma; 4. Early surgical nerve exploration combined with fracture stabilisation is highly recommended in fractures due to a high-energy trauma.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 3","pages":"201-207"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9131802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}