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Comparative Study
. 2024 Apr 2;331(13):1149-1151.
doi: 10.1001/jama.2024.2671.

Five-Year Follow-Up of Surgery vs Functional Bracing for Closed Displaced Humeral Shaft Fractures

Lasse Rämö  1 , Thomas Ibounig  1 , Bakir O Sumrein  2 , Vesa Lepola  2 , Mika Paavola  1 , Simo Taimela  1 , Teppo L N Järvinen  1 ; FISH Investigators
Affiliations
Comparative Study

Five-Year Follow-Up of Surgery vs Functional Bracing for Closed Displaced Humeral Shaft Fractures

Lasse Rämö et al. JAMA. .
No abstract available

Plain language summary

This study compares outcomes of surgery and functional bracing for closed humeral shaft fractures after 5 years of follow-up.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Figures

Figure.
Figure.. Disabilities of the Arm, Shoulder, and Hand (DASH) Score Over Time
A, Results of the intention-to-treat analysis, with groups presented as randomized. B, Results of the per-protocol analysis, with groups receiving initial surgery, successful bracing, and secondary surgery after failed bracing presented separately. A and B, The DASH score ranges from 0 (no disability) to 100 (extreme disability). Time 0 indicates before fracture. Colored error bars indicate 95% CIs of the point estimates of group means; boxes, 25th and 75th percentiles of observed values; horizontal lines within boxes, median DASH scores; black error bars, highest and lowest values within 1.5 times the IQR; and data points beyond the error bars, individual values outside this range.
See this image and copyright information in PMC

References

    1. Rämö L, Sumrein BO, Lepola V, et al. ; FISH Investigators . Effect of surgery vs functional bracing on functional outcome among patients with closed displaced humeral shaft fractures: the FISH randomized clinical trial. JAMA. 2020;323(18):1792-1801. doi:10.1001/jama.2020.3182 - DOI - PMC - PubMed
    1. Rämö L, Paavola M, Sumrein BO, et al. ; FISH Investigators . Outcomes with surgery vs functional bracing for patients with closed, displaced humeral shaft fractures and the need for secondary surgery: a prespecified secondary analysis of the FISH randomized clinical trial. JAMA Surg. 2021;156(6):1-9. doi:10.1001/jamasurg.2021.0906 - DOI - PMC - PubMed
    1. Rämö L, Taimela S, Lepola V, Malmivaara A, Lähdeoja T, Paavola M. Open reduction and internal fixation of humeral shaft fractures versus conservative treatment with a functional brace: a study protocol of a randomised controlled trial embedded in a cohort. BMJ Open. 2017;7(7):e014076. doi:10.1136/bmjopen-2016-014076 - DOI - PMC - PubMed

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