Treatment of Diaphyseal Fractures of the Humerus Using a Functional Brace

Rutgers, Marijn; Ring, David

doi:10.1097/01.bot.0000249423.48074.82

Cited by 132 publications

(59 citation statements)

References 11 publications

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“…Rutgers and Ring retrospectively reviewed treatment of diaphyseal humerus fractures that were treated with functional bracing and found proximal third long oblique fractures may be at greater risk of nonunion (39 % in their study), they attribute this to the pull of the deltoid on the distal aspect of the proximal fragment and muscle interposition [9]. Toivanen et al also noted that over half of the fractures of the proximal third of the humerus in their study treated with functional bracing also went on to nonunion [17].…”

Section: Current Concepts In Nonoperative Versus Operative Interventionmentioning

confidence: 99%

Humeral shaft fractures

Spiguel

Steffner

2012

Curr Rev Musculoskelet Med

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Management of humeral shaft fractures has historically been largely conservative. A significant body of literature, dating back to the 1970s, has shown that functional bracing may achieve greater than 90 % union rates and acceptable functional outcomes. More recently, however, with the advent of new surgical techniques and implant options, less tolerance for acceptable deformity and functional deficits, and less patience with conservative management, many treating orthopaedic surgeons are increasingly likely to consider surgical intervention. This article reviews the current recommendations for treatment of humeral shaft fractures, including both nonoperative and operative intervention. It also discusses the current thinking and operative trends in humeral shaft fracture fixation.

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Section: Current Concepts In Nonoperative Versus Operative Interventionmentioning

confidence: 99%

Humeral shaft fractures

Spiguel

Steffner

2012

Curr Rev Musculoskelet Med

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“…Spiral and oblique patterns are also more prone to nonunion than are transverse fractures. 4,6 Most patients lose little shoulder motion after bracing; however, Rosenberg and Soudry have found shoulder functional outcome scores to be lower than those of the unaffected side after brace treatment. 7…”

Section: The Evidence Bracingmentioning

confidence: 97%

Treatment of Distal Diaphyseal Humerus Fractures

Jawa

2010

The Journal of Hand Surgery

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“…Disadvantages include pin tract-infection, delayed union, non union, pin loosening and complications related to passing pins through soft tissue like radial palsy [17][18][19][20] . In literature results of humerus plating and nailing are almost similar however humerusinterlock nailing has few disadvantageslike [21][22][23][24][25] .  Shoulder abduction restricted because of rotator cuff injury.…”

Section: International Journal Of Orthopaedics Sciencesmentioning

confidence: 99%

Outcome of open reduction and internal reduction with plating in fractures of shaft of humerus

Deshmukh¹,

Patel²,

Patel³

et al. 2018

Int. J. Orthop. Sci.

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Background and Objectives: Fractures of shaft of humerus consists of 1% -3% of all fractures. Despite the numerous surgical modalities, plate osteosynthesis remains the gold standard for fixation of humerus shaft fractures. The aim of this study is to see the functional results of humerus shaft fractures treated with plating, reemphasizes the effectiveness of plate osteosynthesis in the management of humeral shaft fractures so as to restore the patient structurally and functionally to near normal status. Materials and Methods: This is retrospective and prospective study of 30 cases of fractures of shaft of humerus admitted at S.S.G. Hospital, Vadodara, Gujarat in between july 2015 to june 2016. Cases were sleceted as per inclusion and exclusion criteria. All patients were operated using posterior or anterolateral approach. They were assessed radiologically and clinically for fracture union at regular intervals of 6 wks, 12 wks and 18wks by using DR. R.N. Deweshwar's Score. Results: Our study of 30 cases, there were 25 men and 5 women, with average age of 39 years.16 (53.33%) patients were admitted due to fall from height,12 (40%) due to road traffic accidents and 2 (6.66%) patients due to assult with predominance of right side 20(66.66%) patients. Out of 30 cases 21(70%) patients of middle third, 7 (23.33%) were lower third, and 2 (6.66%) were upper third. 28 patients having close fractures and 2 have open injury. simple transverse fractures were most common that is 12(40%).10 (33.33%) patients were having associate injuries. The fracture united in 29(96.66%) patients with 1 (3.33%) patient going for non-union. Good and full range of shoulder and elbow movements was present in 28 (93.33%) patients with 2 patients having fair shoulder range of movement and 2 patients having fair elbow range of movement. Conclusion: Open reduction internal fixation with plating is an excellent mode of treatment in fracture of shaft of humerus, which consistently gives long term good results.

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Treatment of Diaphyseal Fractures of the Humerus Using a Functional Brace

Abstract: Level IV (case series).

Cited by 132 publications

References 11 publications

Humeral shaft fractures

Humeral shaft fractures

Treatment of Distal Diaphyseal Humerus Fractures

Outcome of open reduction and internal reduction with plating in fractures of shaft of humerus

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