English

Abstract

Objectives: To determine the outcome of close reduction and conservativemanagement in closed humeral diaphyseal fracture in terms of normal union and delayedunion. Study design: Descriptive case series. Setting: Orthopedic Department of Allied andDHQ Hospital Faisalabad. Duration of study: 15th December 2012 to 15th December 2014.Material & Methods: 170 patients with mean age of 36.68 ± 14.16 including 98 (57.6%)males and 72 (42.4%) females falling in inclusion criteria were managed conservatively withthe technique i.e. application of u-shaped plaster slab initially for 3 weeks then replaced byhumeral brace (Sarmiento) uptil 12 weeks. Results: 170 patients with mean age of 36.68 ±14.16 including 98 (57.6%) males and 72 (42.4%) female patient. Simple transverse fractureswere 103 (66.47%), spiral fractures 31 (18.23%) and oblique fractures 36 (15.30%). Unionwas achieved in 158 patients (92.94%), 12 patients (7.05%) progress to delayed union. Meanhealing time was 10 weeks ± 1.81 with a range of 7 to 15 weeks. Conclusion: When choosingconservative methods close reduction and conservative management initially with u-slab ofplaster of paris later replaced by humeral brace (Sarmiento) is the treatment of choice becauseof low complication but very high success rates.