POSTERIOR APROACHES IN DISTAL HUMERUS FRACTURES BRYAN – MORREY APPROACH VERSUS TRANSOLECRANIAN APPROACH
Abstract:
This study tries to analyze replacement opportunity of the transolecranian approach with
Brayan - Morrey approach (4.7) in view of anatomical, functional and biomechanical changes that
apear to the elbow joint after transolecranian approach (angulation, translation and diastasis). After
surgery patients were enrolled in an intensive functional rehabilitation program (3), being re-evaluated
at 2 weeks, 4 weeks, 2 months, 3 months, 6 months and 1 year. At each visit patients were investigated
radiologically and functionally (flexion, extension, pronation, supination, grip strength – gripping).
Evaluation of the patients was done according to the sheet of the patient with distal humerus fracture;
elbow Mayo score and gripping ability. From a functional point, the patients who were operated by
Brayan - Morrey approach perform better and faster than those who were operated by classical
transolecranian approach. Given the issues described above, for type C fractures of the distal humerus,
personally consider to be appropriate to replace the transolecranian approach with Brayan - Morrey
approach.
full text article in English (.EN) |