Journal article
Inclusion of Olecranon Osteotomy With the Posterior Approach for Fixation of Distal Humerus Fractures (OTA/AO 13) Does Not Increase Surgical Complications
Journal of orthopaedic trauma, Vol.35(7), pp.E223-E227
07/01/2021
DOI: 10.1097/BOT.0000000000002006
PMID: 33208714
Abstract
Objectives: To determine if inclusion of an olecranon osteotomy to the posterior paratricipital approach for operative fixation of distal humerus fractures significantly affects surgical complication rates (OTA/AO 13). Design: Retrospective comparative cohort study. Setting: Level 1 trauma center. Patients/Participants: Three hundred four patients underwent open reduction internal fixation of a distal humerus fracture between 2007 and 2017. Of those, 134 met inclusion criteria (>= 15 years, OTA/AO fracture type 13A, B, or C, and posterior surgical approach) for the study (n = 64 with olecranon osteotomy; n = 70 without olecranon osteotomy). Intervention: Open reduction internal fixation of distal humerus fractures performed using a posterior paratricipital approach with or without olecranon osteotomy. Main Outcome Measure: Ulnar neuropathy (UN), fracture site bony nonunion, and surgical site infection (SSI). Results: Thirty-one (33.3%) who underwent the paratricipital approach without olecranon osteotomy, and 15 patients (26.8%) who underwent olecranon osteotomy reported postoperative UN with no significant difference between approaches (P = 0.438). There was no significant difference in rates of SSI (P = 0.418) or fracture site nonunion (P = 0.263) when comparing the approaches. Subjects with Charlson comorbidity index >= 2 were more likely to not undergo an olecranon osteotomy (P = 0.01), whereas subjects with more complex fractures by OTA/AO classification were more likely to have an olecranon osteotomy approach (P = 0.001). Conclusions: Addition of an olecranon osteotomy with the paratricipital approach for fixation of distal humerus fractures does not result in higher rates of UN, fracture site nonunion, or SSI.
Details
- Title: Subtitle
- Inclusion of Olecranon Osteotomy With the Posterior Approach for Fixation of Distal Humerus Fractures (OTA/AO 13) Does Not Increase Surgical Complications
- Creators
- Erin S. Wilson - Roy J. and Lucille A. Carver College of MedicineJoseph A. Buckwalter - University of Iowa Hospitals and ClinicsGrant Henning - Roy J. and Lucille A. Carver College of MedicineJohn Davison - Roy J. and Lucille A. Carver College of MedicineIgnacio G. Fleury - University of Iowa Hospitals and ClinicsMichael C. Willey - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of orthopaedic trauma, Vol.35(7), pp.E223-E227
- DOI
- 10.1097/BOT.0000000000002006
- PMID
- 33208714
- NLM abbreviation
- J Orthop Trauma
- ISSN
- 0890-5339
- eISSN
- 1531-2291
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 5
- Language
- English
- Date published
- 07/01/2021
- Academic Unit
- Orthopedics and Rehabilitation; Injury Prevention Research Center
- Record Identifier
- 9984304693902771
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