ArticleOrthopedic research and reviews2019
Humeral shaft fracture: a randomized controlled trial of nonoperative versus operative management (plate fixation).
Article in Orthopedic research and reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04574336 (Scandinavian Humeral diAphyseal Fracture Trial - A Pragmatic Randomized Controlled Trial), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Scandinavian Humeral diAphyseal Fracture Trial - A Pragmatic Randomized Controlled Trial
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Humeral shaft fracture: systematic review of non-operative and operative treatment.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Factors associated with humeral shaft fracture nonunion.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Can the Inverted Application of the PHILOS Plate Be an Alternative in Extra-articular Distal Humerus Fractures? A Comparative Analysis with the Extra-articular Distal Humerus Plate.Clinics in orthopedic surgery · 2025Article
- Article
- Clinical effect of operativeWorld journal of orthopedics · 2024Article
- The outcome of nonoperative treatment for adult humeral shaft fractures using a U-shaped slab in resource-limited settings: a prospective cohort study.Journal of orthopaedic surgery and research · 2024Article
- Treatment of humeral shaft fractures with different treatment methods: a network meta-analysis of randomized controlled trials.BMC musculoskeletal disorders · 2023Article
- Inadequate proximal screw fixation increases risk of failure following plate fixation of diaphyseal humerus fractures.Journal of orthopaedic surgery and research · 2023Article
- New ways of treatment of fractures of the humeral shaft: does the combination of intramedullary nail osteosynthesis and cerclage improve the healing process?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Intramedullary Nailing Versus Plate Fixation for Humeral Shaft Fractures: A Systematic Review and Meta-Analysis.The archives of bone and joint surgery · 2022Review
- Article
- Article
- Risk factors for nonunion after traumatic humeral shaft fractures in adults.JSES international · 2020Article
- Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists.BMC musculoskeletal disorders · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis randomized controlled trial was conducted to investigate the outcomes of humeral shaft-fracture management with the functional Sarmiento brace (nonoperative) versus open reduction internal fixation (ORIF).
methodsSixty humeral shaft-fracture patients with a minimum age of 18 years were randomly assigned into two groups: operative treatment with open reduction-internal fixation (ORIF) or functional brace (Sarmiento). A similar postoperative rehabilitation program was applied for all subjects for the next 12 months. The outcomes of each method were measured in terms of nonunion rate, union time, "quick" Disabilities of Arm, Shoulder, and Hand (DASH) questionnaire scores, and rate of complications, such as malunion, infection, and radial nerve injury.
resultsThe two groups had similar baseline characteristics, including age, sex, smoking status, and type and mechanism of fracture. The mean union time was about 4.8 weeks shorter in the ORIF group (13.9 weeks in operative group versus 18.7 weeks in nonoperative group), indicating a definite significant superiority (
conclusionAccording to the present findings, there is remarkable superiority of ORIF over functional Sarmiento bracing in the management of patients with humeral shaft fracture.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.