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Isolated ulnar shaft fractures. Comparison of treatment by a functional brace and long-arm cast |
Gebuhr P, Holmich P, Orsnes T, Soelberg M, Krasheninnikoff M, Kjersgaard AG |
Journal of Bone and Joint Surgery -- British Volume 1992 Sep;74-B(5):757-759 |
clinical trial |
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
In a prospective study, we randomly allocated 39 patients with isolated fractures of the lower two-thirds of the ulnar shaft to treatment either by a prefabricated functional brace or a long-arm cast. Significantly better wrist function and a higher percentage of satisfied patients were found in the braced group. Thirteen patients returned to employment while still wearing the brace but only one was able to work in a cast.
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