Functional bracing of fractures of the shaft of the humerus.
نویسندگان
چکیده
We treated fifty-one cases of fracture of the shaft of the humerus with a functional method of treatment consisting of a plastic sleeve, individually molded or prefabricated. It maintained good alignment of the fragments and permitted rapid and uninterrupted osteogenesis. The early introduction of functional activity to the entire extremity appears to provide a desirable physiological environment conducive to rapid healing. Non-unions have not been encountered in nonpathological fractures. Healing time has been rapid, and there has been consistent restoration of motion of all joints prior to the completion of healing. The morbidity was minimum.
منابع مشابه
Current concepts review - fractures of the shaft of the humerus.
Fractures of the shaft of the humerus are common injuries. Historically, the treatment of choice has been functional bracing. Recent technical advances such as angular stable plate and nail constructs lead to a shift in the treatment algorithm for this type of fracture. Surgical treatment is recommended in high grade open fractures, multilevel injury, polytrauma patients, nerve and serious vasc...
متن کاملFunctional bracing of humeral shaft fractures. A review of clinical studies.
Functional bracing has been widely accepted as the gold standard for treating humeral shaft fractures conservatively. We conducted a literature review to verify the efficacy of this treatment method. Sixteen case series and two comparative studies fulfilled the criteria set. Analysis of these clinical studies showed that humeral shaft fractures when treated with functional bracing heal in an av...
متن کاملA Pre-fabricated Bracing System for the Management of Humeral Shaft Fractures: Experience of a Centre in the United Kingdom.
BACKGROUND The aim of our study is to evaluate the ability of a pre- fabricated humeral bracing system in providing sufficient stability to fracture union and carry out a cost analysis comparing bracing versus surgical fixation for these fractures. MATERIAL AND METHODS A review of humeral shaft fractures treated with a pre-fabricated humeral bracing system was undertaken. RESULTS 20 humeral...
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The appropriate treatment of extraarticular distal humerus fractures is controversial. While functional bracing has been shown to result in good outcomes, some surgeons continue to favor operative fixation. Specifically, they cite concerns of radial nerve injury, difficulty in controlling fracture alignment, and long-term elbow stiffness with bracing. Jawa et al compared functional bracing with...
متن کاملManagement of humeral shaft fractures.
Humeral shaft fractures account for approximately 3% of all fractures. Nonsurgical management of humeral shaft fractures with functional bracing gained popularity in the 1970s, and this method is arguably the standard of care for these fractures. Still, surgical management is indicated in certain situations, including polytraumatic injuries, open fractures, vascular injury, ipsilateral articula...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. American volume
دوره 59 5 شماره
صفحات -
تاریخ انتشار 1977