To describe and evaluate the lateral para-olecranon approach for total elbow arthroplasty and to compare it... Methods. 0000010505 00000 n 0000001789 00000 n 0000019501 00000 n 0000003575 00000 n 0000047426 00000 n 0000047354 00000 n 0000003488 00000 n The elbow … 0000001528 00000 n 0000009454 00000 n 0000004384 00000 n 0000003045 00000 n The pedestal was located on the distal portion of the upper arm and by supporting the fracture site of distal humerus, allowed the operators to flex and extend the elbow joint to acquire sufficient exposure of the surgical field. Lateral epicondylitis remains the most common elbow injury, but thankfully, the vast … 0000032833 00000 n Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Patients were treated by 2 senior trauma surgeons. 0000011139 00000 n %%EOF 0000008723 00000 n <]/Prev 490761>> Institutional Review Board approval was not required for this prospective cohort study. By continuing you agree to the use of cookies. The paratricipital approach is a relatively new approach in a complex intra-articular fracture of distal humerus (AO13-C). 0000005132 00000 n Conclusions: Paratricepital posterior approach results in excellent healing, a mean flexion extensor arc of more than 100 degree, maintenance of almost normal elbow extensor strength. 0000047498 00000 n 0000002891 00000 n We demonstrate the technique of the “two-window” approach, which combines a paratricipital posteromedial access with splitting the triceps lateral to the triceps tendon. 60 43 102 0 obj <>stream 0000000016 00000 n 0000002969 00000 n Between 2011 and 2015, 51 adult patients with closed AO 13-C–type fractures were included in the study and divided into 2 groups, that is, paratricipital approach (PT) group and olecranon osteotomy (OO) group. xref Copyright © 2020 Elsevier B.V. or its licensors or contributors. startxref The PT approach and the OO approach can be used alternatively for AO 13-C1 and -C2 fractures with similar outcomes. 0 0000011816 00000 n 0000002054 00000 n However, in type C3, the PT approach yields a poor outcome in comparison with the OO approach. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. The olecranon osteotomy remains the recommended approach for severe intra-articular comminution, but all other fractures can likely be approached via a paratricipital approach. 0000003678 00000 n Positioning for the paratricipital approach. Mayo elbow performance score (MEPS) was used to evaluate the outcome. All rights reserved. The approach was used over the olecranon in the prone position. The wound was closed under the negative suction drain, which was removed after 48 hours. 0000026284 00000 n The paratricipital approach as de- scribed by Alonso-Llames11has the advantage of maintaining the triceps insertion undisturbed, and it elimi- nates the risk of postoperative triceps insufficiency. 0000007949 00000 n The Lateral Para-Olecranon Approach for Total Elbow Arthroplasty Purpose. 0000006363 00000 n 0000047599 00000 n © 2019 Journal of Shoulder and Elbow Surgery Board of Trustees. h�b```e``������q�A��2l,= ,�G�`����J��)_��5,Y�������\�SYĔ8mvᅣ�gy)�Ifn��I. invasive approach for both rotator cuff repair and fixation of valgus-impacted proximal humeral fractures. Through a posteromedial incision, all surfaces of the distal humerus were accessed without … 0000002828 00000 n 0000029914 00000 n 0000007222 00000 n 0000015419 00000 n 0000033109 00000 n 0000014508 00000 n They were prospectively analyzed for outcome and complications. %PDF-1.4 %���� 0000006855 00000 n trailer 0000010185 00000 n 60 0 obj <> endobj 0000002778 00000 n 0000047703 00000 n Materials and methods Surgical technique. However, specifically in the type C3 fracture, the PT group had a poor outcome for arc of motion (P = .002) and MEPS (P = .019) compared with the OO group. The aim of this study was to ascertain this approach compared with the olecranon osteotomy approach. The association between age and surgical delay against arc of motion was statistically significant (P = .005 and .01, respectively). A midline posterior incision was used with a slight lateral bent on the olecranon tip to avoid the... Postoperative. There was no difference in arc of motion (P = .513) and MEPS (P = .127) as well as complication rate (χ2 statistic = 0.36, P = .54). Also, age and surgical delay had a weak, negative correlation with arc of motion and MEPS. Also, we aimed to investigate whether advancing age and surgical delay yield a poor outcome. We use cookies to help provide and enhance our service and tailor content and ads. 0000047317 00000 n This approach is com- monly used for irreparable distal hu- merus fracture in elderly patients for whom a total elbow arthroplasty is planned. 0000002743 00000 n Outcome following olecranon osteotomy versus paratricipital approach for complex intra-articular (AO 13-C) fracture of distal humerus: a prospective comparative study. 0000001156 00000 n 0000030869 00000 n 0000005717 00000 n S 0000029712 00000 n Implication: Paratricepital posterior approach should be considered whenever distal humerus fracture are to be fixed especially in Type A and Type B fractures. Of the total 51 patients (mean age, 41.6 years), 27 patients were in the PT group and 24 in the OO group. https://doi.org/10.1016/j.jse.2019.01.002. Distally, intra-articular exposure is dependent on triceps mobilization, either by olecranon osteotomy or triceps release; this exposure can be coupled with either a triceps-splitting or a paratricipital approach for proximal extension. 0000001609 00000 n
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