Humeral shaft fractures treatment: minimally invasive osteosynthesis with bridge plate vs nonsurgical treatment with funcional brace: a randomised controlled trial

• Grant number: 11/21611-2
• Support Opportunities: Regular Research Grants
• Start date: May 01, 2012
• End date: April 30, 2014
• Field of knowledge: Health Sciences - Medicine - Surgery
• Principal Investigator: João Carlos Belloti
• Grantee: João Carlos Belloti
• Host Institution: Escola Paulista de Medicina (EPM). Universidade Federal de São Paulo (UNIFESP). Campus São Paulo. São Paulo , SP, Brazil
• Associated researchers: Fabio Teruo Matsunaga ; Marcel Jun Sugawara Tamaoki

Abstract

Humeral shaft fractures account for 1 to 3% of all fractures in adults and for 20% of all humeral fractures. They have an annual incidence from 13 to 14.5 per 100,000 people. Conservative treatment is still the standard treatment of isolated humeral shaft fractures, although this method can present higher rates of unsatisfactory results. Modern concepts of internal fixation of long bones' 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 the majority of humeral shaft fractures.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 considering patient's superior limb function, return to previous activities and quality of life.After assessmente of elegibility, one hundred and ten patients with humeral shaft fractures will be randomically allocated in one of the two groups: bridge plate or functional brace. If alocated in bridge plate group, the patient will be undergone preoperatory clinical evaluation and have his surgery scheduled with the surgical tecnique described by Livani 2004. If alocated in funcional brace group, the patient will be undergone closed reduction an imobilization with coaptation U-splint and after 14 days, it will be changed for the functional brace.All patientes will be assessed after 1, 2, 4, 6, 8, 24, 48 and 96 weeks after intervention. Our primary outcomes will be the DASH and SF-36 questionnaire and time to return to professional activities. As secondary outcomes, we will assess clinically the pain (VAS), radiographically (consolidation and angulation) and ecomomically (cost of the treatment). (AU)

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

DE MORAES, VINICIUS YNOE; GODIN, KATELYN; SUGAWARA TAMAOKI, MARCEL JUN; FALOPPA, FLAVIO; BHANDARI, MOHIT; BELLOTI, JOAO CARLOS. Workers' Compensation Status: Does It Affect Orthopaedic Surgery Outcomes? A Meta-Analysis. PLoS One, v. 7, n. 12, p. 9-pg., 2012-12-05. (11/21611-2)

MATSUNAGA, FABIO T.; TAMAOKI, MARCEL J. S.; MATSUMOTO, MARCELO H.; DOS SANTOS, JOAO B. G.; FALOPPA, FLAVIO; BELLOTI, JOAO C.. 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. Trials, v. 14, AUG 7 2013. (11/21611-2)

DE MORAES, VINICIUS YNOE; GODIN, KATELYN; GOMES DOS SANTOS, JOAO BAPTISTA; FALOPPA, FLAIO; BHANDARI, MOHIT; BELLOTI, JOAO CARLOS. Influence of compensation status on time off work after carpal tunnel release and rotator cuff surgery: a meta-analysis. PATIENT SAFETY IN SURGERY, v. 7, p. 5-pg., 2013-01-01. (11/21611-2)