POSTERIOR APPROACHES IN DISTAL HUMERUS FRACTURES BRYAN – MORREY APPROACH VERSUS TRANSTRICIPITAL APPROACH
Abstract:
In this paper, we tried to establish a fair
indication as regards the management of distal humerus
fractures. Fractures included in this paper are part of the
group of fractures type A2.1, A2.2, A2.3, A3.1, A3.2,
A3.3- AO (Arbeitsgemeinschaft für Osteosynthesefragen)
classification. The following analysis compared two ways
of approach: the Bryan-Morrey technique and the
transtricipital approach. The study was made on a sample
of 28 patients over a period of one year. Given the fact
that for the type of fracture included in the study, we may
use any of the two surgical techniques, the selection of
patients was made randomly. In case of the Bryan-Morrey
approach, we appreciate the advantages of good viewing
area joint, particularly the fact that the abort can be
completed with olecranon osteothomy (approx. 1 cm), as
well as the wide and easy access to the two pillars of
humeral palette. One of the disadvantages may be the
relatively more difficult access to the proximal fragment
in cases of higher fracture. For these reasons, for A2 and
A3 fracture, the medical personnel prefer the Brya –
Morrey approach.
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