Iqra Shahid, Dr Shafaq Naseer, Dr Fatima Akram
Aim: To determine the clinical and radiographic outcomes of patients treated with functional bracing for humeral shaft fractures. Place and duration: Ganga Ram Hospital Lahore for one-year duration from March 2019 to February 2020. Material and methods: 15 patients with a mean age of 43 (in the range of 18 to 67 years) who met the inclusion and exclusion criteria, initially stabilized with plaster of Paris U-slab for two weeks followed by the application of a functional brace. Clinical and radiographic assessments were done weekly for the 1st four-weeks after the start of orthotic practice, & every 2-weeks thereafter. Functional assessment was carried out in accordance with Hunter's criteria. Radiographic assessment was performed taking into account the formation of healing tissue, anterior / posterior, lateral and rotational angulations and shortening into consideration. Results: Most patients (n = 13, 86.6%) attained union after an average of 14-weeks (range 12-20 weeks). 2 fractures (13.3%) did not join, and then underwent surgery. 9 (69.2%) patients were assessed as functionally excellent (G5) and four (30.7%) good (G3-G4) according to Hunter's criteria. The mean varus-valgus angulation were 9 degrees in patients with functional bracing, while the anterior posterior angulation was 10 degrees. One patient (7.6%) had a 2 cm shortening combined whose fracture was united with bracing. Conclusion: Fractures shaft of humerus treated with a functional brace gave a high-union rate with excellent functional outcomes. Key words: Shaft of humerus, Functional brace, outcome.