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

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dc.contributor.author Matsunaga, Fabio T. [UNIFESP]
dc.contributor.author Tamaoki, Marcel J. S. [UNIFESP]
dc.contributor.author Matsumoto, Marcelo H. [UNIFESP]
dc.contributor.author Santos, Joao B. G. dos [UNIFESP]
dc.contributor.author Faloppa, Flavio [UNIFESP]
dc.contributor.author Belloti, Joao C. [UNIFESP]
dc.date.accessioned 2016-01-24T14:32:07Z
dc.date.available 2016-01-24T14:32:07Z
dc.date.issued 2013-08-07
dc.identifier http://dx.doi.org/10.1186/1745-6215-14-246
dc.identifier.citation Trials. London: Biomed Central Ltd, v. 14, 8 p., 2013.
dc.identifier.issn 1745-6215
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/36644
dc.description.abstract 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). en
dc.description.sponsorship Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.format.extent 8
dc.language.iso eng
dc.publisher Biomed Central Ltd
dc.relation.ispartof Trials
dc.rights Acesso aberto
dc.subject Humeral fractures en
dc.subject Immobilisation en
dc.subject Fracture fixation en
dc.subject Internal en
dc.subject Orthopaedic fixation devices en
dc.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 en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo, Escola Paulista Med Unifesp EPM, Dept Orthoped & Traumatol, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Escola Paulista Med Unifesp EPM, Dept Orthoped & Traumatol, São Paulo, Brazil
dc.description.sponsorshipID FAPESP: 2011/21611-2
dc.identifier.file WOS000323002300002.pdf
dc.identifier.doi 10.1186/1745-6215-14-246
dc.description.source Web of Science
dc.identifier.wos WOS:000323002300002



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