PDF(Pubmed)
Abstract：
BACKGROUND: Humeral shaft fractures, constituting 3-5% of musculoskeletal injuries, are commonly managed conservatively using functional braces. However, this approach may not be feasible in resource-limited settings. This study aimed to evaluate the functional outcomes of nonoperative treatment for humeral shaft fractures in adults utilizing a U-shaped slab.
METHODS: This prospective study was conducted from August 2021 to August 2022 involving 16-year-old and older individuals who received nonsurgical treatment for humeral shaft fractures at public tertiary hospitals in Rwanda. The assessment focused on various functional outcomes, including alignment, union rate, range of motion, return to activities of daily living, and DASH score.
RESULTS: The study included 73 participants, predominantly males (73.9%), with a median age of 33 years. The union rate was high at 89.04%, and 10.96% experienced delayed union. Radial nerve palsy occurred in 4.11% of patients, but all the patients fully recovered within three months. Despite angular deformities during healing in the majority of participants, these deformities did not significantly impact functional outcomes. According to the international classification of disabilities, 77% of participants achieved a good functional grade.
CONCLUSIONS: The conservative U-shaped slab method was effective at managing humeral shaft fractures. However, optimal results necessitate careful participant selection and comprehensive rehabilitation education. Implementing these measures can improve the overall success of nonoperative management.
METHODS: This prospective study was conducted from August 2021 to August 2022 involving 16-year-old and older individuals who received nonsurgical treatment for humeral shaft fractures at public tertiary hospitals in Rwanda. The assessment focused on various functional outcomes, including alignment, union rate, range of motion, return to activities of daily living, and DASH score.
RESULTS: The study included 73 participants, predominantly males (73.9%), with a median age of 33 years. The union rate was high at 89.04%, and 10.96% experienced delayed union. Radial nerve palsy occurred in 4.11% of patients, but all the patients fully recovered within three months. Despite angular deformities during healing in the majority of participants, these deformities did not significantly impact functional outcomes. According to the international classification of disabilities, 77% of participants achieved a good functional grade.
CONCLUSIONS: The conservative U-shaped slab method was effective at managing humeral shaft fractures. However, optimal results necessitate careful participant selection and comprehensive rehabilitation education. Implementing these measures can improve the overall success of nonoperative management.
摘要：
背景：肱骨干骨折，占肌肉骨骼损伤的3-5%，通常使用功能大括号进行保守管理。然而,这种方法在资源有限的环境中可能不可行。本研究旨在评估使用U形板非手术治疗成人肱骨干骨折的功能结果。
方法：这项前瞻性研究于2021年8月至2022年8月进行，涉及在卢旺达公立三级医院接受非手术治疗肱骨干骨折的16岁及以上患者。评估侧重于各种功能成果，包括对齐，联合汇率，运动范围,回到日常生活的活动，和DASH得分。
结果：该研究包括73名参与者，以男性为主（73.9%），平均年龄为33岁。结合率高达89.04%,10.96%的人经历了延迟的工会。4.11%的患者出现桡神经麻痹,但所有病人在三个月内完全康复.尽管大多数参与者在愈合过程中有角度畸形，这些畸形对功能结局没有显著影响.根据国际残疾分类，77%的参与者获得了良好的功能等级。
结论：保守的U形板治疗肱骨干骨折是有效的。然而,最佳结果需要仔细的参与者选择和全面的康复教育。实施这些措施可以提高非手术管理的整体成功率。
方法：这项前瞻性研究于2021年8月至2022年8月进行，涉及在卢旺达公立三级医院接受非手术治疗肱骨干骨折的16岁及以上患者。评估侧重于各种功能成果，包括对齐，联合汇率，运动范围,回到日常生活的活动，和DASH得分。
结果：该研究包括73名参与者，以男性为主（73.9%），平均年龄为33岁。结合率高达89.04%,10.96%的人经历了延迟的工会。4.11%的患者出现桡神经麻痹,但所有病人在三个月内完全康复.尽管大多数参与者在愈合过程中有角度畸形，这些畸形对功能结局没有显著影响.根据国际残疾分类，77%的参与者获得了良好的功能等级。
结论：保守的U形板治疗肱骨干骨折是有效的。然而,最佳结果需要仔细的参与者选择和全面的康复教育。实施这些措施可以提高非手术管理的整体成功率。
