Clinical outcomes of triceps reflecting anconeus pedicle and olecranon osteotomy approach for distal humerus intercondylar fractures

Table 1 Patient demographic data

Parameters	TRAP group, n = 20	Olecranon osteotomy group, n = 20	P value
Male:female ratio, n	8:12	11:9	> 0.05
Age in yr, mean (range)	43.2 (18-58)	37.45 (21-55)	< 0.05
Mechanism of injury
Fall, n (%)	16 (80)	14 (70)	< 0.05
Road traffic accident, n (%)	4 (20)	6 (30)
AO/ASIF fracture type
Type C1	7	7	> 0.05
Type C2	11	9
Type C3	3	3
Intraoperative time in min, mean	119.5	111.45	< 0.05
Hospital stay in d, mean	9.85	5.45	< 0.05
Time taken for union in wk, mean (range)	13.05 (10-16)	12.85 (10-15)	> 0.05
Complications, n
Ulnar nerve paresthesia	2	3	> 0.05
Hardware prominence	2	5	< 0.05
Infection	3	2	> 0.05

AO/ASIF: Arbeitsgemeinschaft für Osteosynthesefragen/Association of the Study of Internal Fixation; TRAP: Triceps anconeus pedicle approach.

Table 2 Arc of motion, disability of arm, shoulder and hand score and, Mayo elbow performance score

Follow-up time point	TRAP group, n = 20			Osteotomy group, n = 20
	Arc of motion	DASH	MEPS	Arc of motion	DASH	MEPS
6 wk	57.6 ± 3.4	53.6 ± 3.9	53.3 ± 2.9	69.3 ± 3.3	46.8 ± 4.1	62.7 ± 2.1
3 months	79.7 ± 4.1	36.5 ± 4.2	67.5 ± 2.7	87.7 ± 3.9	35.5 ± 3.7	70.1 ± 2.8
6 months	99.7 ± 3.7	25.4 ± 4.9	81.2 ± 3.3	101.3 ± 4.9	23.9 ± 3.8	83.1 ± 3.5
1 yr	107.0 ± 3.5	18.3 ± 4.7	84.2 ± 2.9	106.2 ± 3.8	15.7 ± 3.9	86.2 ± 3.1

Data are mean ± SD. DASH: Disability of arm, shoulder and hand; MEPS: Mayo Elbow Performance Score; TRAP: Triceps reflecting anconeus pedicle.

Table 3 Mayo elbow performance score at the 12-month follow-up, n (%)

MEPS	TRAP, n = 20	Olecranon osteotomy, n = 20	P value
Excellent	14 (70)	15 (75)	> 0.05
Good	3 (5)	2 (10)	> 0.05
Fair	2 (10)	2 (10)	> 0.05
Poor	1 (5)	1 (5)	> 0.05

MEPS: Mayo Elbow Performance Score; TRAP: Triceps reflecting anconeus pedicle.