Publication Name	World Journal of Orthopedics
手稿编号	101392
手稿来源省、自治区或特别行政区	China

Received	2024-09-12 16:10
Peer-Review Started	2024-09-12 16:10
To Make the First Decision
Return for Revision	2025-02-20 05:16
修回稿	2025-03-02 10:16
Second Decision	2025-03-25 02:37
期刊总编辑接受
公司总编辑接受	2025-03-25 07:40
预出版	2025-03-25 07:40
缴纳版面费
Edit the Manuscript by Language Editor	2025-03-31 22:01
排版	2025-04-14 01:41
在线出版	2025-04-17 08:25

ISSN	2218-5836 (online)
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专业类型	Orthopedics
手稿栏目类型	Editorial
文章标题	Revisiting the debate on operative vs nonoperative management of humeral shaft fractures
手稿来源	Invited Manuscript
所有作者列表	Yu-Fei Yuan and Jie Miao
基金项目及其编号
通讯作者	Jie Miao, MD, Orthpeatic Department, Handan Central Hospital, NO.15 Zhong Hua Southen Street,Han shan strict,Han dan,He bei Province., Handan 056001, Hebei Province, China. 13930046826@163.com
关键词	Operative; Nonoperative; Functional brace; Humeral shaft fractures; Disabilities of the Arm, Shoulder, and Hand
核心内容提要	Historically, humeral shaft fractures were predominantly managed through conservative methods,. However, with advancements of open reduction internal fixation and intramedullary nailing, the rate of surgical intervention has gradual increased. But according to the previous literature presented, there were not consistent conclusions about conservative and surgical treatments. While conservative treatment is avoid surgical complications, and functional bracing also have outstanding results, but both operative and nonoperative of the periods of follow-up and the potential for complications like nonunion, malunion, and lost of reduction are still on debate. Patients of surgery group are benefit form early functional activities, but there is a risk of infection, nonunion, and failure of the internal fixation. Compared with conservative treatment, surgery group have similar Disabilities of the Arm, Shoulder, and Hand scores at 12 months. Hematopoiesis is further disrupted by intraoperative soft tissue disturbing, and nonunion may also result from potential instability of conservative treatment.
出版日期	2025-04-17 08:25
引文著录	<p>Yuan YF, Miao J. Revisiting the debate on operative vs nonoperative management of humeral shaft fractures. <i>World J Orthop</i> 2025; 16(4): 101392</p>
URL	https://www.wjgnet.com/2218-5836/full/v16/i4/101392.htm
DOI	https://dx.doi.org/10.5312/wjo.v16.i4.101392

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