A Study of Conservative Therapy Methods for Upper Limb Bone Fractures.

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We analyzed the results of conservative therapy on upper limb bone fractures after a preliminary investigation via a questionnaire.Eighty Orthopaedic Practitioners were selected from both the membership list of the Japanese Fracture Society and the membership list of the medical association of Fukuoka Prefecture. Three hundred and nine authorized facilities out of the authorized roll of the Japanese Orthopaedic Association (pub. 1985), all University Hospitals, and those branch hospitals on the roll of the Japanese Orthopaedic Association also took part.We received answers back at ratios of 47.5%, 63.5%, and 42.4% from Practitioners, University Hospitals, and General Hospitals, respectively.Twenty-two common fractures were classified from clavicle to metacarpus. We inquired about the basis of treatment whether conservative therapy or operative therapy was preferred; the methodology, indications, and percentage of follow through.Results; We compared the results from the Practitioners, University Hospitals and General Hospitals. Then we recorded the answers in the conservative therapy method groups.The largest variance was found in treatment of fractures of the radial head, Monteggia fractures, and Bennet fractures, when done by the University Hospitals, General Hospitals, and Practitioners. Usually, all groups selected conservative therapy when dealing with Colles, Smith, and clavicle fractures.Conversely operative procedures were most often selected for olecranon, Monteggia, and Galeazzi fractures in University Hospitals and General Hospitals. In all cases, the Practitioners preferred conservative therapy at a higher ratio than the other.

A Study of Conservative Therapy Methods for Upper Limb Bone Fractures.

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