Elmadağ, Nuh MehmetErdil, MehmetBilsel, KeremAcar, Mehmet AliTuncer, NejatTuncay, İbrahim2020-03-262020-03-2620141633-8065https://dx.doi.org/10.1007/s00590-012-1149-yhttps://hdl.handle.net/20.500.12395/31470Introduction: 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.en10.1007/s00590-012-1149-yinfo:eu-repo/semantics/closedAccessApproachElbowFractureHumerusIntraarticularArticle241435023412273Q1