Triceps Anconeus Sparring Approach Versus Olecranon Osteotomy in Treatment of Intercondylar Fracture Humerus

Document Type : Original Article

Authors

The Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University* and Al-Haram Hospital**

Abstract

Abstract
Background: Intercondylar fracture humerus needs early treatment, anatomical reduction, rigid fixation and early ROM. This study hypothesized that Intercondylar fracture humerus better approached by olecranon osteotomy for comminuted types & by triceps anconeus sparring for simple two parts intercondylar fracture humerus.
Aim of Work: Is to compare classic olecranon osteotomy approach with triceps anconeus sparing approach (TRAP) in open reduction and internal fixation of intercondylar fracture humerus patients; regarding exposure of fracture site, operative time, post-operative pain, union time, return to pre fracture range of motion of elbow joint and complications rate. Com-paring our results to the published series in the literatures.
Patients and Methods: A clinical study was conducted From January 2012 to October 2015. In this study, forty patients with intercondylar fracture humerus were treated by ORIF using triceps anconeus sparing and olecranon osteotomy approaches. Age ranges from 25 to 60 years. Elbow mayo score and muscle power used for scoring & follow-up period 6 months.
Results: All patients were evaluated pre-operatively and post-operatively for Elbow mayo function score, wolf law for triceps power were completed at 1, 3 & 6 months. Olecranon osteotomy gave better results in comminuted intercondylar fractures but triceps sparring was better in simple two part intercondylar humerus fractures especially in young patients.

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The Medical Journal of Cairo University
Volume 86, September
September 2018
Pages 2775-2780

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