+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Treatment of coronal shear fracture of the distal end of the humerus by the olecranon osteotomy approach



Treatment of coronal shear fracture of the distal end of the humerus by the olecranon osteotomy approach



Zhongguo Gu Shang 30(1): 14-18



To explore the effectiveness of olecranon osteotomy approach for the treatment of coronal shear fracture of the distal end of the humerus. A retrospective analysis was made on the clinical data of 34 patients with the coronal shear fracture of the distal end of the humerus treated by the olecranon osteotomy approach from January 2005 to January 2013. Of 34 cases, there were 15 boys and 19 girls, aged from 17 years to 84 years (mean, 54.9±10.2 years); 18 patients had fractures on the left and 16 patients had fractures on the right. Fractures were classified according to the Bryan and Morrey classification united Mckee classification: type Iinjuries occurred in 10 cases, type IIinjuries in 5 cases, type III injuries in 10 cases and type IV injuries in 9 cases. The Mayo elbow functional scores were evaluated for analysis. All the patients were followed up, and the duration ranged from 15 to 96 months, with a mean of (35.1±7.2) months. Average arc of motion was (132.1±11.2)° in flexion and (4.6±1.9)° in extension. The average Mayo score was 85.9±6.3(73 to 94 scores). Thirteen patients got an excellent result, 15 good and 6 poor. The average Mayo score was 88.6±3.7 in type Iinjuries, 85.8±4.6 in type IIinjuries, 81.8±5.8 in type III injuries and 87.5±9.1 in type IV injuries. There were no significant differences in outcomes. The treatment for the coronal shear fracture of the distal end of the humerus by the olecranon osteotomy approach can achieve the satisfactory curative effect, maintain the reduction and improve the elbow function.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 065638298

Download citation: RISBibTeXText

PMID: 29327542


Related references

A comparison of functional outcome of intercondylar fracture of distal humerus managed by olecranon osteotomy approach versus triceps sparing approach in adults. Jpma. Journal of the Pakistan Medical Association 65(11 Suppl 3): S119-S122, 2015

Internal fixation for coronal shear fracture of the distal end of the humerus by the anterolateral approach. Journal of Shoulder and Elbow Surgery 10(6): 554-556, 2001

Outcome of olecranon osteotomy in the trans-olecranon approach of intra-articular fractures of the distal humerus. Ulusal Travma Ve Acil Cerrahi Dergisi 15(6): 565-570, 2009

Outcome following olecranon osteotomy versus paratricipital approach for complex intra-articular (AO 13-C) fracture of distal humerus: a prospective comparative study. Journal of Shoulder and Elbow Surgery 28(4): 742-750, 2019

The olecranon osteotomy provides better outcome than the triceps-lifting approach for the treatment of distal humerus fractures. European Journal of Orthopaedic Surgery and Traumatology 24(1): 43-50, 2014

Treatment of intercondylar fracture of the humerus through internal and external elbow approach or elbow posterior olecranon osteotomy approach. Zhongguo Gu Shang 30(10): 957-960, 2017

Coronal shear fracture of the distal humerus in an 11-year-old patient. Journal of Pediatric Orthopedics. Part B 20(1): 50-55, 2011

Posterior coronal shear fracture of the distal humerus in a child. Journal of Shoulder and Elbow Surgery 24(9): E264-E270, 2015

Functional outcome following olecranon osteotomy approach for fixation of T/Y fractures of distal humerus. Jpma. Journal of the Pakistan Medical Association 65(11 Suppl 3): S25-S27, 2015

Olecranon Osteotomy Approach for Complex AO-13C Fractures of Distal Humerus: A Prospective Analysis of 24 Cases. Malaysian Orthopaedic Journal 13(1): 30-35, 2019

Analysis of anterolateral approach and lateral approach for the treatment of coronal shear fracture of the distal humeral. Beijing Da Xue Xue Bao. Yi Xue Ban 48(6): 1026-1031, 2016

Combined olecranon osteotomy and posterior triceps splitting approach for complex fractures of the distal humerus. Journal of Orthopaedic Trauma 17(5): 368-373, 2003

The Outerbridge–Kashiwagi technique for fixation of a transarticular coronal shear fracture of the distal humerus. Shoulder & Elbow 3(4): 228-231, 2011

The Olecranon Osteotomy: A Six-year Experience in the Treatment of Intraarticular Fractures of the Distal Humerus. Year Book of Hand and Upper Limb Surgery 2008: 59-60, 2008

The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus. Journal of Orthopaedic Trauma 20(3): 164-171, 2006