Abstract
Se presenta el caso de un paciente de 17 años, a quien se le realizó osteosíntesis de fémur por fractura de tercio medio secundaria a accidente de tránsito. En el postoperatorio, se encuentra debilidad e hipoestesia de miembro superior izquierdo, y se diagnostica neuropraxia del plexo braquial. Se identifica como factor desencadenante primordial la ubicación incorrecta del intensificador de imagen durante el transoperatorio, con abducción extrema de la extremidad. Se muestra la evolución y manejo del caso, se presenta una revisión sobre esta complicación perioperatoria y se dan al final unas recomendaciones para evitar la presentación de esta complicación This case refers to a 17-year old patient who underwent osteosynthesis of the femur due to middle third fracture following a traffic accident. During the post-op, the patient showed weakness and hypoesthesia of the upper left limb that lead to a diagnosis of brachial plexus neuropraxia. The underlying triggering factor identified was inadequate positioning of the image intensifier during the course of surgery, with extreme abduction of the limb. The evolution and management of the case is shown, together with a review about this perioperative complication.
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