Treatment of the humeral shaft fractures - minimally invasive osteosynthesis with bridge plate versus conservative treatment with functional brace: study protocol for a randomised controlled trial
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/36644 http://dx.doi.org/10.1186/1745-6215-14-246 |
Resumo: | Background: Humeral shaft fractures account for 1 to 3% of all fractures in adults and for 20% of all humeral fractures. Non-operative treatment is still the standard treatment of isolated humeral shaft fractures, although this method can present unsatisfactory results. Surgical treatment is reserved for specific conditions. Modern concepts of internal fixation of long bone shaft fractures advocate relative stabilisation techniques with no harm to fracture zone. Recently described, minimally invasive bridge plate osteosynthesis has been shown to be a secure technique with good results for treating humeral shaft fractures. There is no good quality evidence advocating which method is more effective. This randomised controlled trial will be performed to investigate the effectiveness of surgical treatment of humeral shaft fractures with bridge plating in comparison with conservative treatment with functional brace.Methods/Design: This randomised clinical trial aims to include 110 patients with humeral shaft fractures who will be allocated after randomisation to one of the two groups: bridge plate or functional brace. Surgical treatment will be performed according to technique described by Livani and Belangero using a narrow DCP plate. Non-operative management will consist of a functional brace for 6 weeks or until fracture consolidation. All patients will be included in the same rehabilitation program and will be followed up for 1 year after intervention. the primary outcome will be the DASH score after 6 months of intervention. As secondary outcomes, we will assess SF-36 questionnaire, treatment complications, Constant score, pain (Visual Analogue Scale) and radiographs.Discussion: According to current evidence shown in a recent systematic review, this study is one of the first randomised controlled trials designed to compare two methods to treat humeral shaft fractures (functional brace and bridge plate surgery). |
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Matsunaga, Fabio T. [UNIFESP]Tamaoki, Marcel J. S. [UNIFESP]Matsumoto, Marcelo H. [UNIFESP]Santos, Joao B. G. dos [UNIFESP]Faloppa, Flavio [UNIFESP]Belloti, Joao C. [UNIFESP]Universidade Federal de São Paulo (UNIFESP)2016-01-24T14:32:07Z2016-01-24T14:32:07Z2013-08-07Trials. London: Biomed Central Ltd, v. 14, 8 p., 2013.1745-6215http://repositorio.unifesp.br/handle/11600/36644http://dx.doi.org/10.1186/1745-6215-14-246WOS000323002300002.pdf10.1186/1745-6215-14-246WOS:000323002300002Background: Humeral shaft fractures account for 1 to 3% of all fractures in adults and for 20% of all humeral fractures. Non-operative treatment is still the standard treatment of isolated humeral shaft fractures, although this method can present unsatisfactory results. Surgical treatment is reserved for specific conditions. Modern concepts of internal fixation of long bone shaft fractures advocate relative stabilisation techniques with no harm to fracture zone. Recently described, minimally invasive bridge plate osteosynthesis has been shown to be a secure technique with good results for treating humeral shaft fractures. There is no good quality evidence advocating which method is more effective. This randomised controlled trial will be performed to investigate the effectiveness of surgical treatment of humeral shaft fractures with bridge plating in comparison with conservative treatment with functional brace.Methods/Design: This randomised clinical trial aims to include 110 patients with humeral shaft fractures who will be allocated after randomisation to one of the two groups: bridge plate or functional brace. Surgical treatment will be performed according to technique described by Livani and Belangero using a narrow DCP plate. Non-operative management will consist of a functional brace for 6 weeks or until fracture consolidation. All patients will be included in the same rehabilitation program and will be followed up for 1 year after intervention. the primary outcome will be the DASH score after 6 months of intervention. As secondary outcomes, we will assess SF-36 questionnaire, treatment complications, Constant score, pain (Visual Analogue Scale) and radiographs.Discussion: According to current evidence shown in a recent systematic review, this study is one of the first randomised controlled trials designed to compare two methods to treat humeral shaft fractures (functional brace and bridge plate surgery).Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Universidade Federal de São Paulo, Escola Paulista Med Unifesp EPM, Dept Orthoped & Traumatol, São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med Unifesp EPM, Dept Orthoped & Traumatol, São Paulo, BrazilFAPESP: 2011/21611-2Web of Science8engBiomed Central LtdTrialsHumeral fracturesImmobilisationFracture fixationInternalOrthopaedic fixation devicesTreatment of the humeral shaft fractures - minimally invasive osteosynthesis with bridge plate versus conservative treatment with functional brace: study protocol for a randomised controlled trialinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000323002300002.pdfapplication/pdf2419421${dspace.ui.url}/bitstream/11600/36644/1/WOS000323002300002.pdf05be9a3a1f415abcd1d2c0222dc04270MD51open accessTEXTWOS000323002300002.pdf.txtWOS000323002300002.pdf.txtExtracted texttext/plain27310${dspace.ui.url}/bitstream/11600/36644/21/WOS000323002300002.pdf.txt9be2e62d26c33403b75caf0d443a4d64MD521open accessTHUMBNAILWOS000323002300002.pdf.jpgWOS000323002300002.pdf.jpgIM Thumbnailimage/jpeg6725${dspace.ui.url}/bitstream/11600/36644/23/WOS000323002300002.pdf.jpg2c05b04f78b96eccc7662111c26171fdMD523open access11600/366442023-06-05 19:47:15.406open accessoai:repositorio.unifesp.br:11600/36644Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-06-05T22:47:15Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Treatment of the humeral shaft fractures - minimally invasive osteosynthesis with bridge plate versus conservative treatment with functional brace: study protocol for a randomised controlled trial |
title |
Treatment of the humeral shaft fractures - minimally invasive osteosynthesis with bridge plate versus conservative treatment with functional brace: study protocol for a randomised controlled trial |
spellingShingle |
Treatment of the humeral shaft fractures - minimally invasive osteosynthesis with bridge plate versus conservative treatment with functional brace: study protocol for a randomised controlled trial Matsunaga, Fabio T. [UNIFESP] Humeral fractures Immobilisation Fracture fixation Internal Orthopaedic fixation devices |
title_short |
Treatment of the humeral shaft fractures - minimally invasive osteosynthesis with bridge plate versus conservative treatment with functional brace: study protocol for a randomised controlled trial |
title_full |
Treatment of the humeral shaft fractures - minimally invasive osteosynthesis with bridge plate versus conservative treatment with functional brace: study protocol for a randomised controlled trial |
title_fullStr |
Treatment of the humeral shaft fractures - minimally invasive osteosynthesis with bridge plate versus conservative treatment with functional brace: study protocol for a randomised controlled trial |
title_full_unstemmed |
Treatment of the humeral shaft fractures - minimally invasive osteosynthesis with bridge plate versus conservative treatment with functional brace: study protocol for a randomised controlled trial |
title_sort |
Treatment of the humeral shaft fractures - minimally invasive osteosynthesis with bridge plate versus conservative treatment with functional brace: study protocol for a randomised controlled trial |
author |
Matsunaga, Fabio T. [UNIFESP] |
author_facet |
Matsunaga, Fabio T. [UNIFESP] Tamaoki, Marcel J. S. [UNIFESP] Matsumoto, Marcelo H. [UNIFESP] Santos, Joao B. G. dos [UNIFESP] Faloppa, Flavio [UNIFESP] Belloti, Joao C. [UNIFESP] |
author_role |
author |
author2 |
Tamaoki, Marcel J. S. [UNIFESP] Matsumoto, Marcelo H. [UNIFESP] Santos, Joao B. G. dos [UNIFESP] Faloppa, Flavio [UNIFESP] Belloti, Joao C. [UNIFESP] |
author2_role |
author author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Matsunaga, Fabio T. [UNIFESP] Tamaoki, Marcel J. S. [UNIFESP] Matsumoto, Marcelo H. [UNIFESP] Santos, Joao B. G. dos [UNIFESP] Faloppa, Flavio [UNIFESP] Belloti, Joao C. [UNIFESP] |
dc.subject.eng.fl_str_mv |
Humeral fractures Immobilisation Fracture fixation Internal Orthopaedic fixation devices |
topic |
Humeral fractures Immobilisation Fracture fixation Internal Orthopaedic fixation devices |
description |
Background: Humeral shaft fractures account for 1 to 3% of all fractures in adults and for 20% of all humeral fractures. Non-operative treatment is still the standard treatment of isolated humeral shaft fractures, although this method can present unsatisfactory results. Surgical treatment is reserved for specific conditions. Modern concepts of internal fixation of long bone shaft fractures advocate relative stabilisation techniques with no harm to fracture zone. Recently described, minimally invasive bridge plate osteosynthesis has been shown to be a secure technique with good results for treating humeral shaft fractures. There is no good quality evidence advocating which method is more effective. This randomised controlled trial will be performed to investigate the effectiveness of surgical treatment of humeral shaft fractures with bridge plating in comparison with conservative treatment with functional brace.Methods/Design: This randomised clinical trial aims to include 110 patients with humeral shaft fractures who will be allocated after randomisation to one of the two groups: bridge plate or functional brace. Surgical treatment will be performed according to technique described by Livani and Belangero using a narrow DCP plate. Non-operative management will consist of a functional brace for 6 weeks or until fracture consolidation. All patients will be included in the same rehabilitation program and will be followed up for 1 year after intervention. the primary outcome will be the DASH score after 6 months of intervention. As secondary outcomes, we will assess SF-36 questionnaire, treatment complications, Constant score, pain (Visual Analogue Scale) and radiographs.Discussion: According to current evidence shown in a recent systematic review, this study is one of the first randomised controlled trials designed to compare two methods to treat humeral shaft fractures (functional brace and bridge plate surgery). |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-08-07 |
dc.date.accessioned.fl_str_mv |
2016-01-24T14:32:07Z |
dc.date.available.fl_str_mv |
2016-01-24T14:32:07Z |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
Trials. London: Biomed Central Ltd, v. 14, 8 p., 2013. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/36644 http://dx.doi.org/10.1186/1745-6215-14-246 |
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1745-6215 |
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WOS000323002300002.pdf |
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10.1186/1745-6215-14-246 |
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WOS:000323002300002 |
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Trials. London: Biomed Central Ltd, v. 14, 8 p., 2013. 1745-6215 WOS000323002300002.pdf 10.1186/1745-6215-14-246 WOS:000323002300002 |
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http://repositorio.unifesp.br/handle/11600/36644 http://dx.doi.org/10.1186/1745-6215-14-246 |
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Biomed Central Ltd |
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Biomed Central Ltd |
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