Triceps-sparing versus olecranon osteotomy for ORIF: Analysis of 67 cases of intercondylar fractures of the distal humerus

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

“…[13] On the other hand, delayed union, nonunion, necessity of implant use to repair osteotomy, and prominent hardware that leads to a second surgery are among the disadvantages. [7][8][9]14,15,23,24] Furthermore, nerve supplies of the anconeus muscle might be damaged, as this muscle participates in the dynamic stabilization of the elbow joint, this may cause elbow instability. [23] Wilkinson et al [13] have compared the triceps split, TRAP, and olecranon osteotomy techniques in a cadaveric study.…”

“…In addition, the MEPS and q-DASH scores of our study are in line with the literature. [16,17,25] Olecranon osteotomy has been associated with a number complications, including delayed union [14] and 0% to 10% risk of nonunion. [8,27] It was suggested that union problems observed in olecranon osteotomies are mostly related to the transverse osteotomy technique (30%).…”

“…[28] Chevron shaped osteotomy reduced these complication. [8,14,29] Chevron osteotomy increases contact surface that may promote healing, facilitate reduction and have inherent translational and rotational stability due to interlocking of the proximal and distal fragments. [8] A study by Sanchez-Sotelo et al [30] have reported excellent and good results (79%) using chevron type ostotomy in the treatment of complex distal humeral fractures.…”

“…[13,14] However, olecranon osteotomy has disadvantages such as delayed union, nonunion, avascular necrosis, heterotrophic ossification, and prominent hardware. [7][8][9]14,15] TRAP approach, as defined by O'Driscoll et al, [12] is an alternative approach in these fracture patterns. This approach is a combination of modified Kocher and Bryan-Morrey, mobilizes the triceps and anconeus muscle of the posterior humerus, and also provides adequate exposure of distal humerus.…”

Comparative study of three models of extra-articular distal humerus fracture osteosynthesis using the finite element method on an osteoporotic computational model

“…9 No prospective randomized studies have been published on their outcomes, and the majority of the studies carried out were retrospective and involved a small number of patients. [10][11][12][13][14][15][16][17][18][19][20][21][22][23] Hence it is not possible to draw conclusions from them on the ideal configuration of the implant for stabilization of distal humerus fractures. …”