Functional Bracing for the Treatment of Fractures of the Humeral Diaphysis* by A. SARMIENTO, J. B. ZAGORSKI, G. A. ZYCH, L. L. LATTA, and C. A. CAPPS J.

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Presentation transcript:

Functional Bracing for the Treatment of Fractures of the Humeral Diaphysis* by A. SARMIENTO, J. B. ZAGORSKI, G. A. ZYCH, L. L. LATTA, and C. A. CAPPS J Bone Joint Surg Am Volume 82(4): April 1, 2000 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Photograph showing a prefabricated brace, held in place with Velcro straps, that compresses the soft tissues and permits unlimited motion of the shoulder and elbow joints. A. SARMIENTO et al. J Bone Joint Surg Am 2000;82:478 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A and 2-B: Radiographs of a comminuted fracture of the proximal third of the humerus due to an automobile accident.Fig. 2-A: Anteroposterior radiograph, made one week after the initial injury, showing subluxation of the glenohumeral joint (arrows). A. SARMIENTO et al. J Bone Joint Surg Am 2000;82:478 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2-B: Anteroposterior and lateral radiographs, made six months after the initial injury, showing spontaneous reduction of the glenohumeral subluxation. A. SARMIENTO et al. J Bone Joint Surg Am 2000;82:478 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Figs. 3-A, 3-B, and 3-C: Radiographs of a comminuted fracture of the middle third of the humeral diaphysis due to a low-velocity gunshot.Fig. 3-A: Anteroposterior radiograph made after the initial injury. A. SARMIENTO et al. J Bone Joint Surg Am 2000;82:478 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3-B: Anteroposterior and lateral radiographs, made two weeks after the application of the functional brace, showing the alignment and reduction. A. SARMIENTO et al. J Bone Joint Surg Am 2000;82:478 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior and lateral radiographs, made four months after the initial injury, showing healing and consolidation of the fracture with good alignment of the humeral diaphysis. A. SARMIENTO et al. J Bone Joint Surg Am 2000;82:478 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Bar graph showing the degree of varus-valgus angulation at the time of the most recent follow- up in the 565 patients for whom anteroposterior radiographs were available. A. SARMIENTO et al. J Bone Joint Surg Am 2000;82:478 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Bar graph showing the degree of anterior and posterior angulation at the time of the most recent follow-up in the 546 patients for whom lateral radiographs were available. A. SARMIENTO et al. J Bone Joint Surg Am 2000;82:478 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Bar graph showing the degree of loss of motion of the affected shoulder as compared with the contralateral side at the time of the most recent follow-up. A. SARMIENTO et al. J Bone Joint Surg Am 2000;82:478 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Bar graph showing the degree of loss of motion of the affected elbow as compared with the contralateral side at the time of the most recent follow-up. A. SARMIENTO et al. J Bone Joint Surg Am 2000;82:478 ©2000 by The Journal of Bone and Joint Surgery, Inc.