医学
射线照相术
肘部
骨科手术
支撑
闭合性骨折
撑杆
肱骨
外科
口腔正畸科
机械工程
工程类
作者
H. J.Christiaan Swellengrebel,David Saper,Paul H. Yi,Alexander A. Weening,David Ring,Andrew Jawa
出处
期刊:The American journal of orthopedics
日期:2018-05-01
卷期号:47 (5)
被引量:2
标识
DOI:10.12788/ajo.2018.0031
摘要
Diaphyseal fractures of the distal humerus have a high rate of union when treated with a functional brace or an above-elbow cast (AEC). This study compares alignment of the humerus and motion of the elbow after functional brace or AEC treatment. One-hundred and five consecutive patients with a closed, extra-articular fracture of the distal humeral diaphysis were identified in the orthopedic trauma databases of 3 hospitals between 2003 and 2012. Seventy-five patients with a follow-up of at least 6 months or with radiographic and clinical evidence of fracture union were included (51 treated with functional bracing and 24 treated with an AEC). All of the fractures healed. The average arc of elbow flexion was 130° ± 9° in braced patients vs 127° ± 12° in casted patients. Four patients (8%) in the bracing group and 4 (17%) in the casting group lost >20° of elbow motion. The average varus angulation on radiographs was 17° ± 8° in braced and 13° ± 8° in casted patients, while the average posterior angulation was 9° ± 6° vs 7° ± 7°, respectively. Closed extra-articular distal diaphyseal humerus fractures heal with both bracing and casting and there are no differences in average elbow motion or radiographic alignment.
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