Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Schildhauer, TA; Nork, SE; Mills, WJ; Henley, MB.
Extensor mechanism-sparing paratricipital posterior approach to the distal humerus.
J ORTHOP TRAUMA. 2003; 17(5): 374-378.
Doi: 10.1097/00005131-200305000-00009
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- Führende Autor*innen der Med Uni Graz
- Schildhauer Thomas Armin
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- Abstract:
- Adequate exposure of the articular surface of the distal humerus and elbow joint is required for operative stabilization of bicolumnar distal humerus fractures. The transolecranon approach, which provides complete posterior visualization and access to the distal humerus, is commonly used. Nevertheless, an olecranon osteotomy and other extensor mechanism-disrupting approaches have risks and possible complications. Alternative exposures have been described primarily for total elbow arthroplasty, but these involve extensive and potentially devascularizing dissections. In extra-articular (OTA type A) and simple articular distal humeral fractures with simple or multifragmentary metaphyseal involvement (OTA type C1 and C2), extensile approaches may not be necessary. For these fracture patterns, an alternative exposure is the extensor mechanism-sparing paratricipital posterior approach to the distal humerus through a midline posterior incision. This approach avoids an osteotomy and mobilizes the triceps and anconeus muscle off the posterior humerus and the intermuscular septae and provides adequate exposure for open reduction and internal fixation.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Female -
- Fracture Fixation, Internal - methods
- Humans -
- Humeral Fractures - physiopathologyHumeral Fractures - radiography
- Find related publications in this database (Keywords)
- distal humerus fracture
- posterior approach
- extensor mechanism
- internal fracture fixation
- elbow joint