Title: Results of Triceps Aponeurosis Tongue Approach for Distal Humerus Fractures
Authors: Dr Bias Dev, Dr Simriti
DOI: https://dx.doi.org/10.18535/jmscr/v7i4.25
Abstract
The retrospective study has been conducted to evaluate the results of intracondylar fractures of distal humerus dealt through posterior Triceps Apponeurosis Tongue Approach ( TATA approach) without necessitating the osteotomy of olecronon in 48 patients from Jan 2010 to Dec 2017. The patients has been followed up for at least one year. The study shows good to excellent results in results in 87 % patients as per MEPI score, while obviating the complication of osteotomy and its fixation.
Keywords: Intercondylar humerus fracture,Triceps aponeurosis tongue approach.
References
- Pankaj a , Mallinth G, Malhotra R, Bhan S. surgical management of intercondylar fracturs of the humans uing triceps reflecting anconeus pedicle approach. Indian J orthop2007, 41: 219 -213
- Bhabhulkar S, Bhabhulkar S. controversies in the management of intraarticular fractures of distal humerus fracture, Indian J orthopaedics, 2011; 45 : 216-25
- Gupta R, Khanchandani P. Intercondylar fractures of the distal humerus in adults: A critical analysis of 55 cases. Injury 2002;33:511
- Muller ME, Schneider R , Willenegger H . Manual of internal fixation. Techniques recommended by AO group. 2nd Springer : new York;1979.p.71 -87
- Ring D , Gulotta L, Chin K Jupiter JB . Olecronon Osteotomy for exposure of fractures and non unions of the distal humerus. J Orthop Trauma 2004; 18: 446
- Wilkinson JM, Stanley D. posterior surgical approachs to the elbow: A comparative anatomical study. J Shhoulder Elbow Surgery 2001 ; 10; 380 -2
- Bryan RS, Morrey BF. Extensive posterior exposure of the elbow. Clincal orthopaedics and related research 1982 ; 166 : 188-92
- Brown RF, Morgan RG. Intercondylar T-shaped fractures of the humerus. Results in ten cases treated by early mobilization. J Bone Joint Surg Br 1971;53:425
- O'Driscoll SW. The triceps-reflecting anconeus pedicle (TRAP) approach for distal humeral fractures and nonunions. Orthop Clin North Am 2000;31:91-101.
- Kasser JR, Richards K, Millis M. The triceps-dividing approach to open reduction of complex distal humeral fractures in adolescents: A Cybex evaluation of triceps function and motion. J Pediatr Orthop 1990;10:93-6.
- Bass RL, Stern PJ. Elbow and forearm anatomy and surgical approaches. Hand Clin 1994;10:343-56.
- Macko D, Szabo RM. Complications of tension band wiring of olecranon fractures. J Bone Joint Surg Am 1985;67:1396-401.
- Horne JG, Tanzer TL. Olecranon fractures: A review of 100 cases. J Trauma 1981;21:469-72.