THE COMPARISON OF TRICEPS-REFLECTING ANCONEUS PEDICLE AND OLECRANON OSTEOTOMY APPROACHES IN THE TREATMENT OF INTERCONDYLAR FRACTURES OF THE HUMERUS

Objective: In this study we aim to evaluate triceps-reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus Material and Methods: Forty one patients who were treated in our hospital between 2010-2015 years with intraarticular distal humerus fractures were retrospectively analyzed. TRAP approach used in 16 patients(10 males, 6 females) and olecranon osteotomy in 25 patients (15 males, 10 females). Fractures were classified in the AO/OTA classification.Functional results were evaluated with the Mayo elbow performance score (MEPS) and the Disabilities of Arm , Shoulder and Hand (DASH) question naire score. Results: There were no significant differences noted between groups interms of clinical fracture healing time, mean MEPS and DASH scores. Complication was noted on five patients treated with olecranon osteotomy approach and two patients treated with TRAP approach. Conclusion: There was no significant difference in terms of postoperative functional outcomes between two methods but TRAP approach is superior to transolecranon approach, reduces complications and reoperation rates