Humeral Shaft Fractures: When the Plate Beats the Brace  

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When treating humeral shaft fractures, which approach do you prefer? Are you in the traditionalist camp: functional bracing, popularized by Sarmiento and beloved for its simplicity, low complication rates, and avoidance of the operating room?

Or do you sit with the modernists, armed with plates, screws, and the conviction that a well-fixed humerus makes for a happier patient.