Functional fracture bracing.

A. Sarmiento, L. L. Latta

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Functional bracing is an effective therapeutic modality in the management of selected fractures of the tibia, humerus, and ulna, particularly low-energy injuries. In the case of tibial fractures, it is applicable only to reduced transverse fractures and to axially unstable fractures with an acceptable degree of shortening. The rate of union of tibial fractures after functional bracing is approximately 97%. The initial shortening noted with closed tibial fractures rarely increases with weight bearing. Shortening has been reported to be as little as 12 mm in 95% of patients, with angulation of 8 degrees in 90%. Such minimal shortening and angulation do not affect functional results. In closed and type I open diaphyseal humeral fractures treated with functional braces, the nonunion rate is approximately 3%. Most of the reported residual angular deformities have been functionally and cosmetically acceptable. For isolated ulnar fractures, the nonunion rate is approximately 2%. Functional fracture bracing is predicated on the premise that motion at the fracture site encourages osteogenesis. The method is applicable only to selected fractures, and it is necessary to have a clear understanding of its rationale, indications, and technique.

Original languageEnglish
Pages (from-to)66-75
Number of pages10
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Volume7
Issue number1
StatePublished - Jan 1 1999

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Tibial Fractures
Humeral Fractures
Closed Fractures
Ulna
Braces
Humerus
Weight-Bearing
Tibia
Osteogenesis
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Functional fracture bracing. / Sarmiento, A.; Latta, L. L.

In: The Journal of the American Academy of Orthopaedic Surgeons, Vol. 7, No. 1, 01.01.1999, p. 66-75.

Research output: Contribution to journalArticle

Sarmiento, A & Latta, LL 1999, 'Functional fracture bracing.', The Journal of the American Academy of Orthopaedic Surgeons, vol. 7, no. 1, pp. 66-75.
Sarmiento, A. ; Latta, L. L. / Functional fracture bracing. In: The Journal of the American Academy of Orthopaedic Surgeons. 1999 ; Vol. 7, No. 1. pp. 66-75.
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