Treatment of diaphyseal fractures of the humerus using a functional brace.

Abstract:

OBJECTIVE:To determine humeral diaphyseal fractures at risk for nonunion with functional brace treatment. DESIGN:Retrospective case series. SETTING:A single surgeon's practice. PATIENTS:Forty-nine of 52 consecutive patients treated nonoperatively for an isolated diaphyseal fracture of the humerus during a 6-year period were followed until either union and full or near-full restoration of shoulder and elbow motion, or until 6 months had passed, or until a reconstructive surgery was performed (average follow-up 14 months; range 2 to 50 months). INTERVENTION:Functional fracture brace. MAIN OUTCOME MEASUREMENTS:Radiographic and clinical union. RESULTS:Union was achieved in 44 of 49 patients (90%) with no more than 15-degree loss of shoulder or elbow motion in any patient. Four of 14 proximal-third fractures (29%), one of 22 middle-third fractures (4%), and none of the 13 distal-third fractures failed to heal. CONCLUSIONS:Proximal-third long oblique fractures may be at greater than average risk for nonunion after functional fracture bracing. LEVEL OF EVIDENCE:Level IV (case series).

journal_name

J Orthop Trauma

authors

Rutgers M,Ring D

doi

10.1097/01.bot.0000249423.48074.82

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

597-601

issue

9

eissn

0890-5339

issn

1531-2291

pii

00005131-200610000-00002

journal_volume

20

pub_type

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