A Clinical Comparison of Triceps-Sparing and Triceps-Detaching Approaches for Revision Total Elbow Arthroplasty

BackgroundNew surgical approaches have been developed to optimise elbow function after total elbow arthroplasty (TEA). Currently, there is no consensus on the best surgical approach. This study aims to investigate the functional outcomes, prosthetic component position and complication rates after a triceps-sparing and a triceps-detaching approach in TEA.Methods and analysisA multicentre prospective comparative cohort study will be conducted. All patients with an indication for primary TEA will enrol in either the triceps-sparing or the triceps-detaching cohort. Primary outcome measure is elbow function, specified as fixed flexion deformity. Secondary outcome parameters are self-reported and objectively measured physical functioning, including triceps force, prosthetic component position in standard radiographs and complications.DiscussionThe successful completion of this study will clarify which surgical approach yields better functional outcomes, better prosthetic component position and lower complication rates in patients with a TEA.Ethics and disseminationThe Medical Ethics Review Board of University Medical Center Groningen reviewed the study and concluded that it is not clinical research with human subjects as meant in the Medical Research Involving Human Subjects Act (WMO), therefore WMO approval is not needed (METc2019/544).Trial registration numberNTR NL8488.

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“…Other authors [5][6][7] presented similar studies with comparable results, favouring a triceps-sparing approach.…”

Section: Open Accessmentioning

confidence: 71%

Prospective cohort study comparing a triceps-sparing and triceps-detaching approach in total elbow arthroplasty: a protocol

Meijering

Boerboom

Gerritsma³

et al. 2021

BMJ Open

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“…More recently, Solarz et al [12] reported that, the functional strength and DASH scores were significantly better in the triceps sparing than triceps detaching techniques. However, the range of motion, and postoperative pain were comparable between both techniques.…”

Section: Discussionmentioning

confidence: 97%

“…Radiological outcome revealed that, union achieved in all patients. The mean time of bone union was 14.8 ± 0.72 weeks [12][13][14][15][16][17][18][19][20]. There were no non-union.…”

Section: Discussionmentioning

confidence: 99%

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Triceps Sparing Approach for Fixation of Distal Humerus Fractures in Adults

Safy¹

2021

International Journal of Medical Arts

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Background: Distal humerus fractures had acquired an attention due to poor outcomes regardless of treatment modality which may be conservative or surgical. These fractures can be addressed with either triceps splitting or triceps sparing approach. The triceps sparing approach was performed by lateral window was developed on the lateral side of the triceps as it is elevated off the posterior border of the intermuscular septa and posterior humerus. Objective:The current work aimed to evaluate the outcome of surgical treatment of fracture distal humerus through triceps sparing approach.

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“…17,94) Dachs et al 95) compared triceps-sparing and triceps-detaching approaches for primary TEA: the rate of postoperative triceps rupture was 15.2% in the triceps-detaching group but the rupture was not observed in the triceps-sparing group. Solarz et al 96) compared the triceps-sparing with triceps-detaching approaches and reported that functional strength and Disabilities of the Arm, Shoulder and Hand scores were significantly higher in the triceps-sparing group. Arc of motion, visual analog scale, and MEPS were similar between the triceps-sparing and triceps-detaching groups.…”

Section: Periprosthetic Fracturementioning

confidence: 99%

Total Elbow Arthroplasty: Clinical Outcomes, Complications, and Revision Surgery

2019

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Total elbow arthroplasty is a common surgical procedure used in the management of advanced rheumatoid arthritis, posttraumatic arthritis, osteoarthritis, and unfixable fracture in elderly patients. Total elbow prostheses have evolved over the years and now include the linked, unlinked, and convertible types. However, long-term complications, including infection, aseptic loosening, instability, and periprosthetic fracture, remain a challenge. Here, we introduce each type of implant and evaluate clinical outcomes and complications by reviewing the previous literature.

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A Clinical Comparison of Triceps-Sparing and Triceps-Detaching Approaches for Revision Total Elbow Arthroplasty

Cited by 8 publications

References 25 publications

Prospective cohort study comparing a triceps-sparing and triceps-detaching approach in total elbow arthroplasty: a protocol

Prospective cohort study comparing a triceps-sparing and triceps-detaching approach in total elbow arthroplasty: a protocol

Triceps Sparing Approach for Fixation of Distal Humerus Fractures in Adults

Total Elbow Arthroplasty: Clinical Outcomes, Complications, and Revision Surgery

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