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Non-Operative Proximal Humeral Fracture Rehabilitation Protocol. Increase ROM while protecting the fracture site. Control pain and swelling (with exercise and modalities) Perform frequent gentle exercise to prevent adhesion formation.
12 lis 2021 · Nonoperative management varied with the immobilization method (sling, splint, fiberglass, or plaster cast), duration (mean range 2-7 weeks), and structure of physiotherapy (supervised or unsupervised) (Table II).
Open reduction and internal fixation (ORIF) with plates and screws has been the preferred surgical option for most of these fractures. Elbow arthroplasty has emerged as an alternative surgical option for elderly patients. Nonoperative management “Bag of Bones” is an option for low demand, medically unwell patients.
• Implants determined by fracture pattern- USE just as much as needed to permit early ROM with minimal soft tissue stripping • Extra-articular fractures may be stabilized by one or two contoured plates – Locked vs. nonlocked – based upon bone quality, working length for fixation, surgeon preference • Intra-articular fractures
Humerus Shaft Fracture Non-Operative Rehabilitation Protocol . PHASE I: IMMOBILIZATION Week 0-2 (to start immediately after initiation of Sarmiento bracing) • No lifting > weight of coffee cup • Sarmiento fracture brace at all times • Upright posture at all times
12 cze 2021 · Careful preoperative evaluation including type of fracture, quality of bone, pre-existing conditions and functional demand help in deciding optimal treatment. CT scans including 2D and 3D reconstructions are almost mandatory in proper planning of the surgical treatment.
25 sie 2023 · The decision to offer operative intervention for distal humerus fractures is based on many factors, including fracture type, intra-articular involvement, fragment displacement, bone...
