International Journal of Orthopaedics Sciences

Management of upper limb diaphyseal and metaphyseal fractures (Humerus, Radius and Ulna) with application of extension cast

2022, Volume 8 Issue 4

Management of upper limb diaphyseal and metaphyseal fractures (Humerus, Radius and Ulna) with application of extension cast

Author(s): Dr. Chanchal Kumar Singh, Dr. Roshan Samad, Dr. Vishal Verma, Dr. Amresh Yadav, Dr. Avnish Sah and Dr. Prabharanjan Aggarwal
Abstract: To manage fracture either no operative or operative techniques is required. If the fracture is significantly displaced or angulated, a closed reduction should be done followed by a period of immobilization with casting or splinting is a basics of no operative approach. The aim of this study is to evaluate results of Management of Upper Limb Diaphysis and Metaphyseal Fractures (Humerus, Radius and Ulna) with Application of Extension Cast in closed fractures in adults to assess the functional acceptance of the procedure. To assess the efficacy and advantage of this treatment. The study included upper arm fracture patients. Fixed criterion was discouraged for a definite sample size and it was considered to take up as many cases as possible from trauma centre on every Wednesday in the entire period of data collection i.e., from of September 2020 and May 2022. Forty-two newly diagnosed cases of the fracture of upper extremities whose radiological and clinical record were intact. Patients in extension casting group were followed up from 14 to 22 months, with an average of (17.34±2.61) months. The full-length cast was applied from 4 to 6 weeks with a mean of 5 weeks. All casts were converted to the above elbow cast when the fracture became sticky. Radiological evidence of a fluffy callus appeared at an average of 35 days and bony union was achieved at a mean of (3.48±0.59) months. In current study after 1 year of treatment, the mean range of motion of all joints of affected limb became normal the mean VAS score after 6 weeks was 8 after 3 months the mean VAS score was 4 and after 6 months the mean was score was 1. Extension cast allows gravity to work all the time which is especially beneficial for comminuted fractures. This reduces the chances of limb shortening.
Pages: 53-57  |  337 Views  111 Downloads


International Journal of Orthopaedics Sciences
How to cite this article:
Dr. Chanchal Kumar Singh, Dr. Roshan Samad, Dr. Vishal Verma, Dr. Amresh Yadav, Dr. Avnish Sah, Dr. Prabharanjan Aggarwal. Management of upper limb diaphyseal and metaphyseal fractures (Humerus, Radius and Ulna) with application of extension cast. Int J Orthop Sci 2022;8(4):53-57. DOI: 10.22271/ortho.2022.v8.i4a.3242
 
International Journal of Orthopaedics Sciences
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