Sarmiento A, Latta L L, Zych G, McKeever P, Zagorski J P
Department of Orthopaedics and Rehabilitation, University of Miami, Florida, USA.
J Orthop Trauma. 1998 Aug;12(6):420-3; discussion 423-4. doi: 10.1097/00005131-199808000-00009.
To report the results from functional bracing of isolated ulnar shaft fractures.
Retrospective review.
Two university hospitals.
Isolated ulnar shaft fractures in 444 patients were stabilized in functional braces that permitted full range of motion of all joints.
Prefabricated braces that extended from below the elbow to above the wrist were applied within the first week after the initial injury.
Union of the fracture, fracture angulation, and final range of motion of the forearm were evaluated.
Two hundred eighty-seven patients were available for follow-up (65 percent). Union took place in 99 percent of the fractures. Shortening of the ulna averaged 1.1 millimeters (range 0 to 10 millimeters). Final radial angulation averaged 5 degrees (range 0 to 18 degrees). Dorsal angulation averaged 5 degrees (range 0 to 20 degrees). Average loss of pronation was greatest in fractures of the proximal third of the ulna, averaging 12 degrees. Fractures in the distal third averaged a loss of 5 degrees of pronation.
Functional bracing is a viable therapeutic alternative in the management of isolated ulnar shaft fractures. It is associated with a 99 percent union rate and good to excellent functional results in more than 96 percent of patients.
报告单纯尺骨干骨折功能支具治疗的结果。
回顾性研究。
两家大学医院。
444例单纯尺骨干骨折患者采用允许所有关节全范围活动的功能支具固定。
在初次受伤后的第一周内应用从肘部下方延伸至腕部上方的预制支具。
评估骨折愈合情况、骨折成角以及前臂的最终活动范围。
287例患者获得随访（65%）。99%的骨折实现愈合。尺骨短缩平均1.1毫米（范围0至10毫米）。最终桡侧成角平均5度（范围0至18度）。背侧成角平均5度（范围0至20度）。旋前平均丧失度数在尺骨近端三分之一骨折中最大，平均为12度。远端三分之一骨折旋前平均丧失5度。
功能支具是单纯尺骨干骨折治疗中一种可行的治疗选择。其骨折愈合率为99%，超过96%的患者功能结果良好至优秀。
