The Journal of Bone and Joint Surgery, Vol 70, Issue 4 607-610, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc
Diaphyseal fractures of the humerus. Treatment with prefabricated braces
JB Zagorski, LL Latta, GA Zych and AR Finnieston
Department of Orthopaedics and Rehabilitation, University of Miami/Jackson Memorial Hospital, Florida.
Using a prefabricated brace, we treated 233 patients who had a fracture of
the humeral shaft. One hundred and seventy patients were available for
follow-up, which ranged from five weeks to forty-eight months. In these
patients (forty-three open and 127 closed fractures), the average time to
union was 10.6 weeks; the average varus-valgus angulation, 5 degrees; the
average anterior-posterior angulation, 3 degrees; and the average
shortening, as measured radiographically, four millimeters. All but three
of the patients had an excellent or a good functional result with a nearly
full range of motion of the extremity. There were a minimum of
complications, including three non-unions. Because of the low morbidity and
high rate of success, we concluded that the treatment of choice for
diaphyseal fractures of the humerus is the prefabricated brace.
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