The olecranon osteotomy provides better outcome than the triceps-lifting approach for the treatment of distal humerus fractures

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dc.contributor.authorElmadağ, Nuh Mehmet
dc.contributor.authorErdil, Mehmet
dc.contributor.authorBilsel, Kerem
dc.contributor.authorAcar, Mehmet Ali
dc.contributor.authorTuncer, Nejat
dc.contributor.authorTuncay, İbrahim
dc.date.accessioned2020-03-26T18:59:16Z
dc.date.available2020-03-26T18:59:16Z
dc.date.issued2014
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractIntroduction: Intra-articular 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 triceps-lifting approach for the treatment of intra-articular distal humeral fractures. Methods: This study shows a consecutive series of 54 intra-articular distal humeral fractures of 54 patients who were treated with open reduction and internal fixation with anatomic plating. Lateral plating was performed in 10 (45.5 %) patients, and medial and lateral parallel plating was performed in 12 (54.5 %) 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 triceps-lifting group. Results: Mean follow-up was 38.3 months for olecranon osteotomy group and 41.4 months for triceps-lifting group. Functional outcomes according to MAYO elbow score and extension-flexion motion arc values were significantly better in olecranon osteotomy group (p < 0.05). Conclusion: Approach with olecranon osteotomy provided better functional outcomes than triceps-lifting approach. Additionally, intra-articular 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. Level of evidence: IV. © 2012 Springer-Verlag France.en_US
dc.identifier.doi10.1007/s00590-012-1149-yen_US
dc.identifier.endpage50en_US
dc.identifier.issn1633-8065en_US
dc.identifier.issue1en_US
dc.identifier.pmid23412273en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage43en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00590-012-1149-y
dc.identifier.urihttps://hdl.handle.net/20.500.12395/31470
dc.identifier.volume24en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofEuropean Journal of Orthopaedic Surgery and Traumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectApproachen_US
dc.subjectElbowen_US
dc.subjectFractureen_US
dc.subjectHumerusen_US
dc.subjectIntraarticularen_US
dc.titleThe olecranon osteotomy provides better outcome than the triceps-lifting approach for the treatment of distal humerus fracturesen_US
dc.typeArticleen_US

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