Internal Fixation vs Functional Bracing for Treatment of Closed Displaced Humeral Shaft Fractures

Study Type:Therapy

OE Level Evidence:1

Journal Level of Evidence:1

Effect of Surgery vs Functional Bracing on Functional Outcome Among Patients With Closed Displaced Humeral Shaft Fractures: The FISH Randomized Clinical Trial

JAMA. 2020 May 12;323(18):1792-1801.

Contributing Authors: L Rämö BO Sumrein V Lepola T Lähdeoja J Ranstam M Paavola T Järvinen S Taimela Investigators FISH

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Synopsis

Eighty-two patients with closed, displaced humeral shaft fractures were randomized to receive an open reduction and internal plate fixation procedure or functional bracing. The primary outcome of interest was the Disability of the Arm, Shoulder and Hand (DASH) scores at 12 months. Secondary outcomes of interest included pain scores at rest and during activities on a Numeric Rating Scale (NRS), Con...