Isolated ulnar shaft fractures treated with functional braces.

Abstract:

OBJECTIVE:To report the results from functional bracing of isolated ulnar shaft fractures. DESIGN:Retrospective review. SETTING:Two university hospitals. PATIENTS:Isolated ulnar shaft fractures in 444 patients were stabilized in functional braces that permitted full range of motion of all joints. INTERVENTION:Prefabricated braces that extended from below the elbow to above the wrist were applied within the first week after the initial injury. OUTCOME MEASURES:Union of the fracture, fracture angulation, and final range of motion of the forearm were evaluated. RESULTS:Two hundred eighty-seven patients were available for follow-up (65 percent). Union took place in 99 percent of the fractures. Shortening of the ulna averaged 1.1 millimeters (range 0 to 10 millimeters). Final radial angulation averaged 5 degrees (range 0 to 18 degrees). Dorsal angulation averaged 5 degrees (range 0 to 20 degrees). Average loss of pronation was greatest in fractures of the proximal third of the ulna, averaging 12 degrees. Fractures in the distal third averaged a loss of 5 degrees of pronation. CONCLUSIONS:Functional bracing is a viable therapeutic alternative in the management of isolated ulnar shaft fractures. It is associated with a 99 percent union rate and good to excellent functional results in more than 96 percent of patients.

journal_name

J Orthop Trauma

authors

Sarmiento A,Latta LL,Zych G,McKeever P,Zagorski JP

doi

10.1097/00005131-199808000-00009

subject

Has Abstract

pub_date

1998-08-01 00:00:00

pages

420-3; discussion 423-4

issue

6

eissn

0890-5339

issn

1531-2291

journal_volume

12

pub_type

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