Zagorski J B, Latta L L, Zych G A, Finnieston A R
Department of Orthopaedics and Rehabilitation, University of Miami/Jackson Memorial Hospital, Florida.
J Bone Joint Surg Am. 1988 Apr;70(4):607-10.
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.
我们使用一种预制支具治疗了233例肱骨干骨折患者。其中170例患者获得随访，随访时间为5周 至48个月。在这些患者中（43例开放性骨折和127例闭合性骨折），平均愈合时间为10.6周；平均内翻-外翻成角5度；平均前后成角3度；经X线测量，平均短缩4毫米。除3例患者外，所有患者的功能结果均为优或良，肢体活动范围几乎完全正常。并发症极少，包括3例骨不连。由于发病率低且成功率高，我们得出结论，肱骨干骨折的首选治疗方法是预制支具。
