Intercondylar fractures of the distal humerus treated with the triceps-reflecting anconeus pedicle approach

The comparison of triceps-reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus

“…The rate of type C3 fracture in our study was higher (45.4%, and 50% in the TRAP and olecranon osteotomy groups, respectively) than the study by Pankaj at al. [16] (%20) and Ozer et al [17] (18%), which may explain relatively lower mean arc of motion in our study. In the TRAP group, we used intact olecranon as a template for anatomic reconstruction of the joint.…”

“…The authors stated that although they found no statistical difference between both groups, their subgroup analysis must be interpreted with caution because the study was not powered to detect such difference. In the study by Ozer et al, [17] range of motion in Type C1 and C2 (n=9, 82%) had an average of 116° (range 95-140), and Type C3 (n=2, 18%) fractures had an average of 85°. In the study by Pankaj at al., [16] the average of range of motion was 118±7 degrees (range 80-140).…”

“…[26] Ozer et al [17] have used TRAP approach in eleven patients with AO type C fractures. They have performed an isokinetic strength test of involved and uninvolved elbow.…”

“…The TRAP approach provides all these requirements. [12,16,17] They have reported that TRAP approach provides sufficient exposure for open reduction and internal fixation, and also allows early rehabilitation. [12,25] Furthermore, after TRAP exposure, there is a chance of total elbow prosthesis in the same session in cases in which the joint surface could not be restored.…”

“…In the literature, there are limited numbers of studies on this issue. [16,17] The current study aimed to compare the TRAP approach with olecranon osteotomy regarding their effects on the functional results of intra-articular distal humerus fractures treated with open reduction and internal fixation (ORIF).…”