Treatment of AO Type C Fractures of the Distal Part of the Humerus through the Bryan-Morrey Triceps-Sparing Approach

Fernández-Valencia, Jenaro Á.; Muñoz-Mahamud, Ernesto; Ballesteros, José R.; Prat, Salvi

doi:10.1155/2013/525326

Cited by 11 publications

(15 citation statements)

References 30 publications

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“…compared triceps sparing with olecranon osteotomy approach in 67 patients with type C distal humerus fracture in an elderly population and concluded that triceps-sparing group has better functional outcomes, faster patient recovery, and lower complication rate, all without compromising visibility of articular surface or impairing fracture reduction during fixation 23. In our study, the mean MEPI score was 94.40 point, with 17 excellent, five good, three fair, and no poor grade, which is consistent with other published series 3102225. In 21 patients, the muscle strength was normal and four patients had good muscle strength when compared to the uninjured arm.…”

Section: Discussionsupporting

confidence: 89%

Functional outcome of intraarticular distal humerus fracture fixation using triceps-sparing paratricipital approach

Yadav

Sharma

Gohiya

2016

IJOO

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Background:Displaced intraarticular distal humerus fracture has been conventionally treated operatively with various triceps disrupting approaches. These approaches are associated with several complications, such as triceps weakness, nonunion or delayed union of osteotomy, implant prominence, and delayed mobilization of the elbow. We present the functional outcome of intraarticular distal humerus fracture fixation using a triceps-sparing paratricipital approach which allows early elbow mobilization and preserving triceps strength.Materials and Methods:Twenty five patients with intraarticular distal humerus fracture were operated using triceps-sparing paratricipital approach with orthogonal plate construct. There were 16 male and 9 female patients and average age was 42.16 years (range 23-65 years). The mechanism of injury was fall from height (n = 8), road traffic accident (n = 13) and ground level fall (n = 4). Clinical, radiological, and functional assessment with Mayo Elbow Performance Index (MEPI) were obtained at follow up period.Results:All fractures united primarily. At the mean follow up of 13.58 months (range 6-22 months), mean elbow flexion was 121.08° (range 94°–142°) and mean motion arc was 114.92°(range 65°-140°). The mean MEPI score was 94.40 points (range 70–100) with 17 excellent, five good, and three fair results. The mean flexion deformity or extension loss was 6.16° (range 5°–15°).Conclusion:Open reduction and internal fixation of intraarticular distal humerus fractures with triceps-sparing paratricipital approach provide adequate exposure with no adverse effect on triceps muscle strength and allows early initiation of elbow motion. We analyzed, age and injury to surgical interval with relation to functional range of elbow using Z-test which is insignificant.

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Section: Discussionsupporting

confidence: 89%

Functional outcome of intraarticular distal humerus fracture fixation using triceps-sparing paratricipital approach

Yadav

Sharma

Gohiya

2016

IJOO

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“…Dental trauma (DT) is a significant public health problem because of its frequency, impact on economic productivity, and quality of life . DT affects mainly youngsters and schoolchildren (8‐11 years old), and its prevalence ranges from 7.4% to 58% . Normally, the most commonly involved teeth are the maxillary incisors, both permanent and deciduous .…”

Section: Discussionmentioning

confidence: 99%

Tooth fragment reattachment techniques—A systematic review

Garcia

Poubel

Almeida

et al. 2018

Dental Traumatology

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Background/Aim Several strategies have been developed for tooth fragment reattachment following fracture. Although many techniques have been reported, there is no consensus on which one has the best results in terms of the bond strength between the fragment and the dentin over time. The aim of this study was to assess the currently reported tooth fragment reattachment techniques for fractured crowns of anterior teeth. Materials and Methods The PubMed, LILACS, Web of Science, Cochrane, and Scopus databases were searched in October 2016, and the search was updated in February 2017. A search of the gray literature was performed in Google Scholar and OpenGrey. Reference lists of eligible studies were cross‐checked to identify additional studies; gray literature and ongoing trials were investigated. Two authors assessed studies to determine inclusion and undertook data extraction. Case reports/series of three or more cases, cross‐sectional studies, cohort studies, and in vivo clinical trials in all languages were included. Results Five articles remained after screening. These studies predominantly reported on fragment reattachment with composite resin and resin cement. There was little consistency among the studies in regard to the technique used for tooth fragment reattachment and length of the follow‐up period. Conclusions According to the evidence found in the studies included in this review, simple tooth fragment reattachment was the preferred reattachment technique. An increase in the bond strength between tooth fragment and dentin was observed when an intermediate material was used. Further investigation is needed, using standard follow‐up periods and larger samples.

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“…In arthroplasty, additional ipsilateral diaphyseal lesions or present implants in the olecranon, the triceps-sparing approaches have showed clinical and technical advantages [39].…”

Section: Approaches For Partially Articular Fracturesmentioning

confidence: 99%

Distal humerus fractures: a review of current therapy concepts

Steinitz

Sailer

Rikli

2016

Curr Rev Musculoskelet Med

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Fractures of the distal humerus in the adult comprise approximately one third of all humeral fractures. Successful management of distal humerus fractures depends on correct reduction of the fracture, reconstruction of the articular surface if needed, stability and rigidity of the fixation, and appropriate rehabilitation. In this review, we evaluated the available literature and highlighted current therapy concepts. We assessed the evolution of internal fixation and elbow arthroplasty focusing on the established surgical approaches against the background of a growing incidence of distal humeral fractures in an aging patient population. Therefore evaluating the aspect and influence of age-dependent comorbidities like osteoporosis on successful treatment.

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Treatment of AO Type C Fractures of the Distal Part of the Humerus through the Bryan-Morrey Triceps-Sparing Approach

Cited by 11 publications

References 30 publications

Functional outcome of intraarticular distal humerus fracture fixation using triceps-sparing paratricipital approach

Functional outcome of intraarticular distal humerus fracture fixation using triceps-sparing paratricipital approach

Tooth fragment reattachment techniques—A systematic review

Distal humerus fractures: a review of current therapy concepts

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