title: The comparison of triceps-reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus.
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 (12 males, 10 females; mean age 37.8 years, range 17-70), 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Orthopaedics and Traumatology, Dicle University Faculty of Medicine, Diyarbakır, Turkey. ibrahimazboy@hotmail.com.
authors.forename: İbrahim
authors.initials: İ
authors.lastname: Azboy
authors.affiliation: Department of Orthopaedics and Traumatology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Bulut
authors.affiliation: Department of Orthopaedics and Traumatology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Cahit
authors.initials: C
authors.lastname: Ancar
authors.affiliation: Department of Orthopaedics and Traumatology, Göztepe Training and Research Hospital, İstanbul, Turkey.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Demirtaş
authors.affiliation: Department of Orthopaedics and Traumatology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Emin
authors.initials: E
authors.lastname: Özkul
authors.affiliation: Department of Orthopaedics and Traumatology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Gem
authors.affiliation: Department of Orthopaedics and Traumatology, Bahçelievler Medikal Park Hospital, İstanbul, Turkey.
authors.forename: Hilmi
authors.initials: H
authors.lastname: Karadeniz
authors.affiliation: Department of Orthopaedics and Traumatology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Arslan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery; D056740:Olecranon Process / Q000293:injuries / Q000601:surgery*; D010027:Osteotomy; D016059:Range of Motion, Articular; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult