Acta Orthop Belg. 2022 Mar;88(1):151-159. doi: 10.52628/88.1.19.
Fractures of the humeral shaft represent 2-4% of all fractures and functional bracing is the gold standard in conservative management. Complications like restricted shoulder range of motion and malunion of the proximal shaft fractures have however been reported. We conducted a retrospective chart re- view of patients treated with the extension casting method over a period of 16 years. Topographically, Garnavos P, M, D, PM and MD fractures and morphologically Simple, Complex and Intermediate fractures were included. Between 2003 and 2019, 74 patients were treated with extension casting. The fractures united at a mean of 10 weeks and there was no case of non-union. Humerus is one of the bones where conservative methodology is still very pertinent. Extension casting gives reproducible and good results. It also addresses patient comfort issues to a considerable extent by allowing shoulder motion and easier maintenance of personal hygiene.
肱骨骨干骨折占所有骨折的 2-4%，功能支具固定是保守治疗的金标准。然而，据报道，此类骨折有一些并发症，如肩关节活动范围受限和近端骨干骨折愈合不良。我们对 16 年来采用延长石膏固定方法治疗的患者进行了回顾性图表审查。从解剖学上看，Garnavos P、M、D、PM 和 MD 骨折，以及简单、复杂和中间形态骨折都包括在内。在 2003 年至 2019 年期间，有 74 名患者采用延长石膏固定方法进行治疗。骨折平均在 10 周时愈合，没有一例出现骨折不愈合。肱骨是保守治疗方法仍然非常适用的骨骼之一。延长石膏固定可获得可重复且良好的效果。它还通过允许肩关节运动和更轻松地保持个人卫生，在很大程度上解决了患者的舒适度问题。
