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Indian Journal of Orthopaedics Surgery


Treatment of diaphyseal fractures of humerus with functional brace


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Author Details: Rohit Bhandari, Ratnakar Ambade, NS Dhaniwala, Sanjay Deshpande, Pradeep K. Singh

Volume : 3

Issue : 1

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 36

Article End Page : 42


Abstract

Background: Conservatively treated fractures of the humeral diaphysis have a high rate of union with good functional results. The aim of the current study was to study the outcome of diaphyseal fractures of humerus treated with functional brace.
Materials and Methods: Twenty Seven diaphyseal fractures of humerus were included in this study. The functional brace was applied after the swelling subsided under image intensifier. Bracing was continued for a longer or shorter duration based on each individuals’ clinical and radiological finding and progress of healing. Patients were instructed in the performance of pendulum exercises immediately after the application of the initial cast or splint, and the exercises were continued after brace application.
Results: Total 27 patients of mean age 34.14 years, were treated with functional brace. The mean union time was 11.23 weeks. 96.3% patients had union and satisfactory functional results. 3.7% had non-union. The average varus- valgus deformity was 9.3 degrees in our study. The average Antero Posterior deformity was of 6.33 degrees. Average shortening was of 5.55 mm. The brace was removed at an average period of 11.23 weeks. 92.59% patients had near normal – shoulder and elbow range of motion.
Conclusion: The treatment of diaphyseal fracture of humerus with functional brace gives credence to our long-held hypothesis that micro motion at the fracture site is an important factor in osteogenesis. The final angular deviations are cosmetically and functionally acceptable. It remains the treatment of choice, as it offers high union rate and good functional results.

Keywords:
Functional Brace, Humeral Diaphysis, Conservative treatment, Humerus fracture, Union