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

Azboy, İbrahim

doi:10.5505/tjtes.2015.42948

Cited by 10 publications

(15 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionmentioning

confidence: 99%

“…The effects of surgical approach on functional outcomes in the treatment of distal humerus fractures have always been a matter of curiosity [18,31,32]. Azboy et al evaluated the functional outcomes of patients with intra-articular DHF treated with triceps-reflecting anconeus pedicle (TRAP) and olecranon osteotomy and they found that TRAP provides better arc of elbow motion with low complication and reoperation rates [31]. Chen et al compared the triceps-sparing approach with olecranon osteotomy regarding their effects on the functional outcomes of intercondylar fracture and concluded that there was no difference between the functional results obtained by both methods [32].…”

Section: Discussionmentioning

confidence: 99%

“…This process can be affected by many factors such as the patient's health status, psychological problems, his/her job and medico-legal issues. Many studies in the literature have shown that psychosocial factors are the most important factors that affect returning back to work, especially in patients with chronic musculoskeletal pain [30][31][32]. In addition, patients may experience physical, emotional and mental exhaustion throughout their working life.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Analysis of Factors Affecting Return to Work After Surgical Treatment in Patients with AO Type C Distal Humerus Fractures

Kumbaracı¹,

Basa²,

Turgut³

2020

IJOO

View full text Add to dashboard Cite

Background The purpose of this study is to evaluate the functional results of distal humerus fractures which were treated by open reduction and fixation with pre-contoured angular stable plates in young patients, and investigate whether the patients could return to their pre-injury work and patients' financial conditions while they were not working. Materials and MethodsThe data of 48 patients, ages between 18 and 55 years, working in a job and having AO/OTA type C distal humerus fracture were retrospectively evaluated. Mayo Elbow Performance Score (MEPS) was used to determine functional results. Postoperative radiographs were evaluated to determine the rate of union, degenerative changes, malunion and heterotopic ossification. Financial outcome form was constituted by the authors and the patients asked whether she/he could return to their pre-injury works after treatment finished and the financial status of the patients during the treatment and after the treatment. ResultsThe mean flexion-extension arc was 114° ± 12°(range 85°-135°) and the mean MEPS score was 85 ± 11(range 65-100). The average time to return to work was 6.5 ± 2.4 months (3-12 months). AO type C2 and C3 fractures and heterotopic ossification negatively affected the functional results and also adversely affected the patients' return to their pre-injury works. 38 (79%) patients returned to pre-injury work and 29 (76%) of them started to work at the same position before the fracture occured. Nine of 38 patients (24%) had to change their positions. Among the 48 patients, 10 patients (21%) could not return to the same work, 7 of them found light duty and 3 of them had not been to work. Conclusion Although the functional results of surgical treatment of intra-articular distal humerus fractures are good, at the end of the treatment, especially heavy workers may have difficulties in returning to their former works.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Analysis of Factors Affecting Return to Work After Surgical Treatment in Patients with AO Type C Distal Humerus Fractures

Kumbaracı¹,

Basa²,

Turgut³

2020

IJOO

View full text Add to dashboard Cite

show abstract

“…Olecranon osteotomy is not as safe as generally considered; its high complication rate should not be underestimated. Articles comparing olecranon osteotomy to paratricipital tend to report higher complication rates, ranging from 45.8% to 55% in patients treated via the olecranon osteotomy versus 27.2% to 40.6% in patients treated via the paratricipital approach [ 11 , 20 , 40 ]. Complications related to osteotomy, such as delayed or non-union, hardware failure, and symptomatic removal of hardware, are prevented when the paratricipital approach is used.…”

Section: Discussionmentioning

confidence: 99%

Complications of olecranon osteotomy in the treatment of distal humerus fracture

Spierings

Schoolmeesters²,

Doornberg

et al. 2022

Clin Shoulder Elbow

View full text Add to dashboard Cite

Background: Distal humerus fractures (DHFs) are challenging to treat due to the locally complex osseous and soft tissue anatomy. Adequate exposure of the articular surface of the distal humerus is crucial when performing an anatomical reconstruction of the elbow. Even though “triceps-on” approaches are gaining popularity, one of the most commonly used surgical treatments for DHF is olecranon osteotomy. The incidence of complications related to this approach is unclear. This review was performed to assess the type and frequency of complications that occur with the olecranon osteotomy approach in the treatment of DHF. Methods: A literature search was conducted in the PubMed/Medline, Embase and Cochrane Library digital databases up to February 2020. Only English articles describing complications of olecranon osteotomy in the treatment of DHF were included. Data on patient and surgical characteristics and complications were extracted. Statistical analysis was performed using SPSS.Results: A total of 41 articles describing 1,700 osteotomies were included, and a total of 447 complications were reported. Of these 447 complications, wound infections occurred in 4.2% of osteotomies, of which 1.4% were deep infections and 2.8% were superficial. Problems related with union occurred in 3.8% of osteotomies, 2% of which represented non-union and 1.8% delayed union. Conclusion: The high risk of complications in olecranon osteotomy must be considered in the decision to perform this procedure in the treatment of DHF.

show abstract

“…The posterior transolecranon approach used in this study carries several advantages, especially when treating comminuted and complex fractures of the distal humerus. [10][11][12][13][14][15] The primary benefit is maximized visualization of the distal humeral articular surface. In a cadaveric study, Wilkinson and Stanley 16 demonstrated that a transolecranon approach to the distal humerus allows for a 63% and 24% increase to visualization of the humeral articular surface when compared with tricepssplitting and triceps-sparing approaches, respectively.…”

Section: Discussionmentioning

confidence: 99%

Olecranon Osteotomy Fixation Following Distal Humerus Open Reduction and Internal Fixation: Clinical Results of Plate and Screws Versus Tension Band Wiring

Haglin¹,

Lott²,

Kugelman³

et al. 2021

Orthopedics

View full text Add to dashboard Cite

Olecranon osteotomy allows for improved visualization of the distal humeral articular surface. This study compared the clinical outcomes of 2 methods of olecranon repair following olecranon osteotomy as part of distal humerus fracture repair. This was a retrospective review of distal humerus fractures treated via a transolecranon approach during a 9-year period. In each case, the olecranon osteotomy was fixed with either tension band wiring (TBW) or plate fixation (PF). Patient demographics, injury information, and surgical management were recorded. Measured outcomes included elbow motion, time to osteotomy union, and postoperative complications. Mayo Elbow Performance Index (MEPI) scores were obtained for all patients. Forty-eight patients were included. All patients had intra-articular AO type 13-C2 or 13-C3 distal humerus fractures and underwent open reduction and internal fixation (ORIF) with olecranon osteotomy. Mean documented follow-up was 20.5 months. Twenty-seven patients had fixation of the olecranon osteotomy with TBW, and 21 with PF. Clinically, there were no differences in osteotomy time to union, elbow motion, or MEPI score at final follow-up. However, patients fixed with TBW had greater elbow extension at both 6-month and final follow-up. Complication rates did not differ. Patients undergoing TBW or PF for repair of an olecranon osteotomy following ORIF of intra-articular distal humerus fractures have similar outcomes. Patients undergoing osteotomy PF may experience less terminal elbow extension when compared with those fixed with TBW. Given their similar clinical outcomes, either modality may be considered when selecting a construct for olecranon osteotomy repair as part of comminuted distal humerus fracture repair. [ Orthopedics . 2021;44(1):e107–e113.]

show abstract

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

Abstract: BACKGROUND:This study aimed to evaluate the functional outcomes of patients with intra-articular distal humerus fractures treated with triceps-reflecting anconeus pedicle (TRAP) and olecranon osteotomy.

Cited by 10 publications

References 28 publications

Analysis of Factors Affecting Return to Work After Surgical Treatment in Patients with AO Type C Distal Humerus Fractures

Analysis of Factors Affecting Return to Work After Surgical Treatment in Patients with AO Type C Distal Humerus Fractures

Complications of olecranon osteotomy in the treatment of distal humerus fracture

Olecranon Osteotomy Fixation Following Distal Humerus Open Reduction and Internal Fixation: Clinical Results of Plate and Screws Versus Tension Band Wiring

Contact Info

Product

Resources

About