Authors: Mehmet Elmadag Mehmet Erdil Kerem Bilsel Mehmet Ali Acar Nejat Tuncer Ibrahim Tuncay
Publish Date: 2012/12/21
Volume: 24, Issue: 1, Pages: 43-50
Abstract
Intraarticular 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 tricepslifting approach for the treatment of intraarticular distal humeral fracturesThis study shows a consecutive series of 54 intraarticular distal humeral fractures of 54 patients who were treated with open reduction and internal fixation with anatomic plating Lateral plating was performed in 10 455 patients and medial and lateral parallel plating was performed in 12 545 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 tricepslifting groupMean followup was 383 months for olecranon osteotomy group and 414 months for tricepslifting group Functional outcomes according to MAYO elbow score and extensionflexion motion arc values were significantly better in olecranon osteotomy group p 005Approach with olecranon osteotomy provided better functional outcomes than tricepslifting approach Additionally intraarticular 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
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