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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2016 / Cilt: 22 - Sayı: 1

İnterkondiler humerus kırıklarının tedavisinde triseps reflekting pedikülve olekranon osteotomisi yaklaşımlarının karşılaştırılması

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

İbrahim AZBOY
Hüseyin ARSLAN
Abdullah DEMİRTAŞ
Hilmi KARADENİZ
Cahit ANCAR
Mehmet BULUT
Emin ÖZKUL
Mehmet GEM
Pages
58–65
Publication Date
2022-11-05
DOI
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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°).

📌 3 Key Takeaways

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Objective & Hypothesis: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: Forty patients with intra-articular distal humerus fractures were retrospectively analyzed.
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Key Findings & Data:TRAP approach was used in 22 patients , and olecranon osteotomy in 18 patients (11 males, 7 females; mean age 35.4 years, range 18-62).
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Conclusion & Impact: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°).
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

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: Forty patients with intra-articular distal humerus fractures were retrospectively analyzed. TRAP approach was used in 22 patients , and olecranon osteotomy in 18 patients (11 males, 7 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) and the Disabilities of Arm, Shoulder and Hand (DASH) questionnaire score. 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 succesful approach in the treatmet of intra-articular distal humerus fractures that provides better arc of elbow motion, reduces complications and reoperation rates

Özet

AMAÇ: Eklem içi humerus alt uç kırıklarının tedavisinde triseps-reflekting ankoneus pedikül (TRAP) ve olekranon osteotomisi yöntemlerinin fonk-siyonel sonuçları karşılaştırıldı.GEREÇ VE YÖNTEM: Eklemi içi humerus kırığı olan 40 hasta geriye dönük olarak incelendi. Bunlardan 22 hastaya (12 erkek, 10 kadın; ortalama yaş 37.8 yıl dağılım 17-70) TRAP, 18 hastaya (11 erkek, 7 kadın; ortalama yaş 35.4 yıl dağılım 18-62) olekranon osteotomisi uygulandı. Kırık sı-nıflaması AO/ASIF sınıflamasına göre yapıldı. Fonksiyonel sonuçlar Mayo dirsek performans skoru ve Kol, Omuz ve El Engellilik (DASH) skoru ile değerlendirildi.BULGULAR: Triseps-reflekting ankoneus pedikül grubunda dirsek eklem hareket açıklığı ortalama 108° (dağılım 40°-140°) iken olekranon osteo-tomisi grubunda ortalama 98° (dağılım 70°-115°) bulundu. Eklem hareket açıklığı bakımından iki grup arasında istatiksel olarak anlamlı fark bulundu (p=0.038). Her iki grup arasında DASH ve MEPS puanı bakından istatiksel olarak anlamlı fark saptanmadı (p=0.412, p=201, sırasıyla). Komplikasyon oranları TRAP grubunda %27.2 iken olekranon osteotomisi grubunda %55 bulundu.TARTIŞMA: Triseps-reflekting ankoneus pedikül yöntemi, olekranon osteotomisine göre dirsek eklem hareket açıklığını sağlamada daha başarılıdır. Ayrıca TRAP yöntemi komplikasyon oranlarını ve yeniden ameliyat gereksinimini azaltmaktadır

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Cite This Article

AZBOY, İ., ARSLAN, H., DEMİRTAŞ, A., KARADENİZ, H., ANCAR, C., BULUT, M., ÖZKUL, E., GEM, M. (2022). İnterkondiler humerus kırıklarının tedavisinde triseps reflekting pedikülve olekranon osteotomisi yaklaşımlarının karşılaştırılması. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 22 - Sayı: 1, 58–65. https://ajindex.com/articles/644449

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