Management of intercondylar fractures of the humerus by triceps-reflecting anconeus pedicle (TRAP) and olecranon osteotomy approaches- A comparative study

Mittal, Ankit; Gill, Sps; Raj, Manish; Kumar, Harish; Singh, Suvir; Arora, Jitesh

doi:10.1016/j.jajs.2020.10.004

Cited by 1 publication

(1 citation statement)

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“…The mean bone union time was comparable between TRAP group andolecranon osteotomy groups (P>0.05). Mittal et al 10 in their study reported a mean bone union time at or before 6 months in majority of their patients, and in some patients, they found union at 9 months; while in our study the union was achieved in both the groups by 11 weeks, that is earlier than that reported by Mittal. Another study by Pankaj et al 4 reported mean bone union time of 3.2 ± 1.6 months, which is comparable to our study findings.…”

Section: Discussioncontrasting

confidence: 48%

Comparison of TRAP (triceps reflecting anconeus pedicle approach) v/s olecranon osteotomy approach for treatment of intercondylar fracture humerus

Goyal¹,

Sharma

Banodha³

2021

IJOS

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Distal humerus fractures constitute 2 to 7% of all the elbow fractures. Young males are most commonly affected due to high energy trauma and secondly seen in elderly women due to osteoporosis. Due to complex anatomy and neurovascular network nearby, the treatment is very difficult. Anatomical reconstruction is the key for successful functional outcome. We compared the TRAP and olecranon osteotomy approach for the management of intraarticular fractures of the humerus in terms of functional, clinical and radiological outcome. The study was conducted in the Department of Orthopaedics & Traumatology, MGM Medical College and MY Hospital, Indore from August 2019 to August 2021 on 30 patients with intra-articular fractures of humerus. 15 patients were treated with olecranon osteotomy and 15 patients were treated with TRAP approach, on patients fulfilling all the inclusion, but none of the exclusion criteria. The functional outcome was measured using Mayo Elbow Performance Score (MEPS) and radiographs were used for evaluating the bone union time.There was a male predominance. Assault, fall and road traffic accidents were the modes of injury. 13-B2, 13-C1 and 13-C3 were commonly seen fracture types. Mean MEPS was significantly better in TRAP (P<0.05) and full triceps strength was achieved in 86.7% patients by 3 months in TRAP and by 6 months in olecranon osteotomy group. The mean blood loss and duration of surgery was significantly longer in olecranon group (P<0.05). The bone union time and hospital stay were comparable between the groups (P>0.05). 73.3% patients of TRAP and 64.3% patients of olecranon osteotomy group achieved excellent outcome by 6 months.TRAP approach is comparatively better than osteotomy approach. Both the methods provide a stable fracture fixation, but complications are more in osteotomy in comparison to TRAP and we found TRAP to be functionally better.: TRAP-triceps reflecting anconeus pedicle approach, MEPS-Mayo Elbow Performance Score, DASH-disabilities of the arm, shoulder and hand, POP-plaster of Paris

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Section: Discussioncontrasting

confidence: 48%