Sivaprashanth, J (2018) Comparative analysis of functional outcome of intercondylar fracture distal humerus by plate osteosynthesis using trap approach and other posterior approaches. Masters thesis, Madurai Medical College, Madurai.
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Abstract
BACKGROUND: This study aimed to evaluate the functional outcomes of patients with intra-articular distal humerus fractures treated with triceps-reflecting anconeus pedicle (TRAP) and olecranon osteotomy. METHODS: Twenty patients with intra-articular distal humerus fractures were prospectively analyzed. TRAP approach was used in 10 patients (6 males, 4 females; mean age 40.1 years, range 17-70), and olecranon osteotomy in 13 patients (9 males, 4 females; mean age 35.4 years, range 18–62). Fractures were classified using the AO/ASIF classification. Functional results were evaluated with the Mayo elbow performance score (MEPS). RESULTS: The overall mean arc of elbow motion was 108° (range 70°–140°) in the TRAP group, whereas that of the olecranon osteotomy group was 98° (range 70°–115°). A significant difference was observed between the two groups in terms of overall mean arc of elbow motion (p=0.038). There were no significant differences noted between the two groups in terms of mean MEPS and DASH scores (p=0.412, p=201, respectively). The overall complication rate was 27.2% in the TRAP group and 55% in the olecranon osteotomy group. CONCLUSION: TRAP is a successful approach in the treatment of intra-articular distal humerus fractures that provides better arc of elbow motion, reduces complications and reoperation rates.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Distal humerus ; internal fixation ; intra-articular fracture ; olecranon osteotomy ; TRAP. |
| Subjects: | MEDICAL > Orthopaedics |
| Depositing User: | Subramani R |
| Date Deposited: | 14 Jul 2018 02:35 |
| Last Modified: | 14 Jul 2018 02:35 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/8750 |
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