Abstract
We began functional bracing of fractures of the forearm after having gained experience with bracing of tibial and femoral fractures. It was initially suspected that braces similar to prostheses worn by amputees could successfully stabilize the fragments and prevent deformities. However, further experiences have indicated that the soft tissues are primarily responsible for the stability of the osseous structures. The prevention of pronosupination of the forearm is achieved by molding the proximal portion of the brace over the olecranon and condyles of the distal humerus. It was also recognized later that isolated fractures of the ulna do not require the prevention of forearm pronosupination thus leading to the conclusion that such fractures can be successfully stabilized with a “sleeve” that simply compresses the soft tissues of the forearm while permitting motion of all joints of the extremity.
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Bibliography
Allam J (1965) The functional anatomy of the interosseous membrane and its relation to fractures of the head of the radius. J Bone Joint Surg [Br] 47: 592
Grace TG, Witmer BJ (1980) Isolated fractures of the ulnar shaft. Proceedings of the 47th Annual A.A.O.S., Atlanta, p 51
Kaufer H, Sonstegard DA, Garver DF, Matthews LS (1977) Quantification of the effect of angular malalignment of the forearm bones upon the range of pronation-supination. Proc 23rd Annual ORS, p 134
Sarmiento A (1978) Functional treatment of long bone fractures. Mosby, St Louis (AAOS instructional courses )
Sarmiento A, Sinclair WF (1968) Prosthetic and orthotic principles in orthopaedics. Artif Limbs 2 2: 28–32
Sarmiento A, Sinclair WF (1975) Fractures orthoses. In: Atlas of orthotics — Biomechanical principles and applications. Mosby, St Louis, pp 245–254
Sarmiento A, Cooper JS, Sinclair WF (1975) Forearm fractures. Early functional bracing — A preliminary report. J Bone Joint Surg [Am] 57 3: 297–304
Sarmiento A, Kinman PhB, Murphy RB, Phillips JG (1976) Treatment of ulnar fractures by functional bracing. J Bone Joint Surg [Am] 58A: 1104–1107
Sarmiento A, Latta L, Sinclair WF (1976) Functional bracing of fractures. Mosby, St Louis (AAOS instructional course lectures )
Youm Y (1979) Biomechanical analysis of forearm pronation-supination and elbow flexion-extension. J Biomech 12: 245
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© 1981 Springer-Verlag Berlin Heidelberg
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Sarmiento, A., Latta, L.L. (1981). Fractures of the Forearm. In: Closed Functional Treatment of Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67832-5_7
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DOI: https://doi.org/10.1007/978-3-642-67832-5_7
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-67834-9
Online ISBN: 978-3-642-67832-5
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