Closed treatment of humeral shaft fractures by functional bracing using polyvinyl chloride versus plaster-of-paris cast: A randomized clinical trial.
- Author:
Hansel Gould B. Cocjin
;
Jair Kimri Jingco
;
Ana-Lorsha Villaber
- Publication Type:Journal Article
- Keywords:
Humeral shaft fracture;
functional brace;
polyvinyl chloride brace
- From:
Philippine Journal of Surgical Specialties
2019;74(1):15-23
- CountryPhilippines
- Language:English
-
Abstract:
INTRODUCTION:This study compared Polyvinyl Chloride (PVC)
made vs Plaster of Paris (POP) made functional braces in the closed
treatment of fractures of the humeral shaft. Outcomes examined were
the rate of fracture union, radiographic alignment, DASH scores and
the range of motion of the shoulder and elbow
METHODS:This was a parallel randomized clinical trial conducted at
the Corazon Locsin-Montelibano Memorial Regional Hospital from
July 2016 to July 2017. All eligible patients were included and
randomly allocated into PVC and POP treatment groups. All patients
were followed-up on the 3rd, 6th, 10th, and 14th week for clinical
and radiographic evaluation.
RESULTS:There were 31 patients, 14 and 17 in the PVC and POP
groups, respectively. The median rate of union in the PVC and POP
groups were 10.50 and 10.00 weeks, respectively. The median varus
and valgus angulation in the PVC and POP groups were 15.75° and
16.5°, respectively. The median anterior and posterior alignment in
the PVC group was 1.7° and POP group was 9.6°. The median DASH
score of the PVC and POP groups were 7.1 and 12.5, respectively.
The median range of motion in the elbow was 135° for both groups.
The median range of motion in the shoulder in the PVC group was
150° and POP group was 140°.
CONCLUSION:There was a high rate of union of humeral shaft
fractures with acceptable functional outcome with the use of the
PVC made functional brace compared to the traditional POP made
functional brace.
- Full text:Closed treatment of humeral shaft fractures.pdf
