000168036 001__ 168036
000168036 005__ 20260123152959.0
000168036 0248_ $$2sideral$$a147569
000168036 037__ $$aART-2017-147569
000168036 041__ $$aeng
000168036 100__ $$0(orcid)0000-0003-1114-4045$$aBallesteros-Betancourt, JR.
000168036 245__ $$aAnatomic and surgical basis for posteroanterior distal locking of the endomedullary antegrade humeral nailing.
000168036 260__ $$c2017
000168036 5060_ $$aAccess copy available to the general public$$fUnrestricted
000168036 5203_ $$aRecent years have witnessed the increasing use of endomedullary nails in diaphyseal long-bone fractures. These rods have considerably become a significant advance in fracture treatment. However, one of their weak points has been the need to lock them at a distal level at their point of insertion. Since the introduction of these nails, many ideas have been proposed to make their locking easier, to reduce
possible iatrogenic neurovascular damage, and surgical and exposure-to-radiation times. In the particular case of the humerus, when the option is antegrade nailing, locking is usually carried out in an anteroposterior direction, with an anterior approach at a distal arm level and a potential associated morbidity including vein damage, traumatic dissection through muscles, and damage to the musculocutaneous nerve.
Sometimes locking is carried out in a lateromedial direction with a lateral arm approach at a distal level, also with associated morbidity, including damage to the radial nerve, to the cubital nerve, to veins, and to the humeral and the radial recurrent arteries. The authors of this paper propose, in order to perform the distal locking of humeral antegrade endomedullary nails easier, a posteroanterior distal locking with a minimum posterior percutaneous approach of the arm. The anatomical study of the extremity shows that this technique is the least damaging for muscular and neurovascular structures in the extreme distal end of the arm and, therefore, decreases possible complications; particularly, neurovascular pre- and post-surgical complications. Finally, the authors describe the details of patient positioning to carry out their proposed technique.
000168036 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttps://creativecommons.org/licenses/by-nc/4.0/deed.es
000168036 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000168036 700__ $$aRíos, M.
000168036 700__ $$aGarcía-Tarriño, R.
000168036 700__ $$aDomingo, A.
000168036 700__ $$aPeidro, Ll.
000168036 700__ $$aLlusá, M.
000168036 773__ $$g4, 2 (2017), 38-45$$pInt. j. adv. jt. reconstr.$$tInternational journal of advanced joint reconstruction$$x2385-7900
000168036 8564_ $$s11878678$$uhttps://zaguan.unizar.es/record/168036/files/texto_completo.pdf$$yVersión publicada
000168036 8564_ $$s2281233$$uhttps://zaguan.unizar.es/record/168036/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000168036 909CO $$ooai:zaguan.unizar.es:168036$$particulos$$pdriver
000168036 951__ $$a2026-01-23-14:33:50
000168036 980__ $$aARTICLE