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The olecranon osteotomy provides better outcome than the triceps-lifting approach for the treatment of distal humerus fractures.

著者 Elmadag M , Erdil M , Bilsel K , Acar MA , Tuncer N , Tuncay I この記事をPubMed上で見るPubMedで表示
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Department of Orthopedics and Traumatology, Medical Faculty, Bezmialem Vakif University, Fatih, 34093, Istanbul, Turkey, drelmadag@hotmail.com.

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INTRODUCTION: Intra-articular distal humeral fractures can be approached in a variety of ways. The purpose of this study is to evaluate and compare the functional outcomes of two approaches: approach with olecranon osteotomy and triceps-lifting approach for the treatment of intra-articular distal humeral fractures. METHODS: This study shows a consecutive series of 54 intra-articular distal humeral fractures of 54 patients who were treated with open reduction and internal fixation with anatomic plating. Lateral plating was performed in 10 (45.5 %) patients, and medial and lateral parallel plating was performed in 12 (54.5 %) patients in olecranon osteotomy group, while lateral plating was performed in 8 (25 %) patients, and medial and lateral parallel plating was performed in 24 (75 %) patients in triceps-lifting group. RESULTS: Mean follow-up was 38.3 months for olecranon osteotomy group and 41.4 months for triceps-lifting group. Functional outcomes according to MAYO elbow score and extension-flexion motion arc values were significantly better in olecranon osteotomy group (p < 0.05). CONCLUSION: Approach with olecranon osteotomy provided better functional outcomes than triceps-lifting approach. Additionally, intra-articular distal humerus fractures can be safely treated with olecranon osteotomy which provides more control over the elbow joint and better visualisation and allows early postoperative rehabilitation. LEVEL OF EVIDENCE: IV.
PMID: 23412273 [PubMed - as supplied by publisher]
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