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首页> 外文期刊>Injury >Comparison of outcomes after triceps split versus sparing surgery for extra-articular distal humerus fractures
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Comparison of outcomes after triceps split versus sparing surgery for extra-articular distal humerus fractures

机译：肱三头肌分裂后的结果比较术治疗外科肱骨肱骨骨折

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摘要

Objectives: To compare elbow range of motion (ROM), triceps extension strength, and functional outcome of AO/OTA type A distal humerus fractures treated with a triceps-split or -sparing approach. Design: Retrospective review. Setting: Two level one trauma centres. Patients: Sixty adult distal humerus fractures (AO/OTA 13A2,13A3) presenting between 2008 and 2012 were reviewed. Exclusion criteria removed 18 total patients from analysis and three patients died before final follow-up. Intervention: Patients were divided into two surgical approach groups chosen by the treating surgeon: triceps split (16 patients) or triceps sparing (23 patients). Main outcome measurements: Elbow ROM and triceps extension strength testing were completed in patients after fractures had healed. All patients were also given the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Results: Compared to the triceps-split cohort, the triceps-sparing cohort had greater elbow flexion (sparing 143 +- 7° compared to split 130 +- 12p = 0.03) and less extension contracture(sparing 6 +- 8 compared to split 23 +- 4°, p < 0.0001). Triceps strength compared to the uninjured arm also favoured the triceps-sparing cohort (sparing 88.9 +- 28.3% compared to split 49.4 +- 17.0%,p = 0.007). DASH scores were not statistically significant between the two cohorts (sparing 14.5 +- 12.2 compared to split 23.6 +- 22.3, p = 0.333). Conclusions: A triceps-sparing approach for surgical treatment of extra-articular distal humerus fractures can result in better elbow ROM and triceps strength than a triceps-splitting approach. Both approaches, however, result in reliable union and similar functional outcome.
机译：目标：比较肘部运动（ROM），三头肌延长强度和AO / OTA的功能结果，型型以肱三头肌分离或分销方法处理的远端肱骨骨折。设计：回顾性评论。设置：两个级别一个创伤中心。患者：2008年至2012年间介绍了六十个成人远端肱骨骨折（AO / OTA 13A2,13A3）。排除标准删除了18例分析患者，并在最终随访之前死亡。干预：患者分为两种由治疗外科医生选择的手术方法组：三头肌分裂（16名患者）或三次培训（23名患者）。主要结果测量：骨折愈合后患者弯头ROM和三头肌延长强度测试完成。所有患者均均赋予扶手，肩部和手（DASH）问卷的残疾。结果：与三头肌分裂队列相比，TRISTESPAS-备件队列具有更大的肘部屈曲（与拆分130 + - 12 0.03）和较少的延伸挛缩相比，备用143 + - 7°（比较6 + - 8）分开23 + - 4°，P <0.0001）。与未加注的手臂相比，肱三头肌也有利于三头肌备队（Sparing 88.9 + - 28.3％）与分裂49.4 + - 17.0％，p = 0.007）。两架队列之间的划分速度没有统计学意义（与分裂23.6 + - 22.3，P = 0.333）相比，备用14.5 + - 12.2。结论：肱三头肌肱骨骨折外科治疗的三分液培训方法可导致更好的弯头和肱三头肌强度而不是三头肌分裂方法。然而，这两种方法都导致可靠的联盟和类似的功能结果。

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