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Year : 2019  |  Volume : 10  |  Issue : 2  |  Page : 51-57

Distribution of AO13-C fractures and results of double plating using triceps V-shaped transection versus olecranon osteotomy approach

Department of Trauma and Orthopaedic Surgery, Pyongyang Medical College, Kim Il Sung University, Pyongyang, Democratic People's Republic of Korea

Correspondence Address:
Dr. Tae-Song So
Department of Trauma and Orthopaedic Surgery, Pyongyang Medical College, Kim Il Sung University, Pyongyang
Democratic People's Republic of Korea
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjmsr.mjmsr_5_19

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Purpose: The purpose of this study is to investigate the distribution of AO13-C fracture and evaluate the surgical results of olecranon osteotomy approach and triceps V-shaped transection approach. Materials and Methods: Retrospective analysis of 86 patients with intraarticular fracture of distal humerus treated with double plating through olecranon osteotomy or triceps V-shaped transection approach between January 2007 and May 2015 was conducted. Distribution in relation to age, gender, side, injury mechanism, concomitant injury, fracture type, and soft-tissue injury was investigated and evaluation of surgical results was performed. Results: Most patients were female, totaling 60 (69.77%). Of 60 female patients, ones aged 40–49 years were 26 (approximately 43.3%). Regardless of gender, most cases, 64 (74.4%) in all, occured on the left arm. Injury mechanisms of fifty cases (58.1%) were simple fall. In 18 cases occured by fall from height ipsilateral distal radial fracture were revealed, totalling 6 (33.3%). According to AO classificaiton, 74 (86%) cases were AO13-C2. At the time of the latest follow-up, flexion arc was 118° ± 1.1° in the triceps transection whereas 100° ± 1.1° in the olecranon osteotomy (P < 0.05). Conclusion: AO13-C fractures were occurred most commonly in the middle-aged women of forties, mainly on the left arm, by simple fall, with the similar configuration to AO13-C2.2 or Riseborough and Radin type II. In the fall from height ipsilateral distal radial fracture must be examined closely. Final functional range of motion, interestingly, was better in triceps V-shaped transection than olecranon osteotomy, implying the importance of postoperative physical therapy and relatively good prognosis of elbow injury in general.

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