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Abstract
Excellent clinical results can be obtained with non-operative treatment of humeral
shaft fractures. In certain patients, operative stabilization is the treatment of
choice. This study was initiated to determine the results of non-operative treatment
in relation to multiple fractures and being overweight. From 1985 to 1992 we treated
35 humeral shaft fractures in 34 patients by non-operative methods. The median age
was 51 (18–84) years. There were 12 women and 22 men. Nine were in overweight patients
and 11 were in patients with multiple fractures. Fractures in overweight patients
were followed for 158 (60–597) days and the Neer score was 61 (50–72) points. Patients
with multiple fractures were followed for 178 (52–970) days and the Neer score was
72 (38–96) points. Single fractures in non-overweight patients were followed for 70
(35–412) days and the Neer score was 94 (65–100) points. These results show that humeral
shaft fractures in certain patients may best be treated by operative stabilization.
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References
- Gegen die operative Behandlung von frischen Oberarmschaftbrüchen.Langenbecks Arch Chir. 1964; 308: 465
- Immobilization of fractures of the shaft of the humerus.Injury. 1973; 5: 175
- Fresh fractures of the shaft of the humerus — conservative or operative treatment?.Reconstr Surg Traumatol. 1974; 14: 65
- Fractures of the humeral shaft. A retrospective study of 240 adult fractures.Clin Orthop. 1975; 112: 254
- 5th ed. Fractures and Joint Injuries. Livingstone, Edinburgh1976: 587
- Functional bracing of fractures of the shaft of the humerus.J Bone Joint Surg [Am]. 1977; 59A: 596
- Extremity fractures in head injuries adults.in: Marvin Å Meyers H The Multiply Injured Patient with Complex Fractures. Lea and Febiger, Philadelphia1984: 134-141
- Comcomitant fractures of long bones.in: Marvin Å Meyers H The Multiply Injured Patient with Complex Fractures. Lea and Febiger, Philadelphia1984: 401
- Management of comcomitant ipsilateral fractures of the humerus and forearm.J Bone Joint Surg [Am]. 1984; 66A: 552
- Intramedullary fixation of humeral shaft fractures.J Bone Joint Surg [Am]. 1984; 66A: 639
- Internal fixation of humeral shaft lesions. Indications and results.Orthop Trans. 1983; 7: 69
- Displaced proximal humeral fractures. Part A. Classification and evaluation.J Bone Joint Surg [Am]. 1970; 52A: 1077
- 2nd Ed. Nonparametric Statistics for the Behavioral Sciences. McGraw-Hill, New York1988: 128
- 6th Ed. The Treatment of Fractures. Grune and Stratton, New York1966 (Supplementary volume to the 5th English edition)
- Diaphyseal fractures of the humerus: treatment with prefabricated braces.J Bone Joint Surg [Am]. 1988; 70A: 607
- Treatment of non unions by compression.Clin Orthop. 1965; 43: 83
Article info
Publication history
Accepted:
November 22,
1994
Identification
Copyright
© 1995 Published by Elsevier Inc.
