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Newcastle approach to the elbow, a cadaveric study
Rouin Amirfeyz,Damian Clark,Tom Quick,Neil Blewitt +3 more
- pp 120-120
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TLDR
The Newcastle approach sufficiently exposes the distal humerus for arthroplasty or fracture fixation purposes and its use is supported by the current study.Abstract:
The aim of the current study was to assess the amount of the distal humerus articular surface exposed through the Newcastle approach, a posterior triceps preserving exposure of the elbow joint. 24 cadaveric elbows (12 pairs) were randomized to receive one of the four posterior surgical approaches: triceps reflecting, triceps splitting, olecranon osteotomy and Newcastle approach. The ratio of the articular surface exposed for each elbow was calculated and compared. The highest ratio observed was for Newcastle approach (0.75 ± 0.12) followed by olecranon osteotomy (0.51 ± 0.1), triceps reflecting (0.37 ± 0.08) and triceps splitting (0.35 ± 0.07). The differences between Newcastle approach and other approaches were statistically significant (p=0.003 vs osteotomy and The Newcastle approach sufficiently exposes the distal humerus for arthroplasty or fracture fixation purposes. Its use is supported by the current study.read more
Citations
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Objective analysis of lateral elbow exposure with the extensor digitorum communis split compared with the Kocher interval.
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Discovery elbow system: 2- to 5-year results in distal humerus fractures and posttraumatic conditions: a prospective study on 24 patients.
TL;DR: The DES yielded promising 2- to 5-year results in the treatment of acute fractures and posttraumatic conditions regarding pain relief, functional improvement, and patient satisfaction, achieving excellent results in most cases.
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Open debridement and radiocapitellar replacement in primary and post-traumatic arthritis of the elbow: a multicenter study
Giuseppe Giannicola,Renzo Angeloni,Alberto Mantovani,Enrico Rebuzzi,Giovanni Merolla,Alessandro Greco,Federico M. Sacchetti,Italo Nofroni,Gianluca Cinotti,Franco Postacchini +9 more
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Surgical approaches for open reduction and internal fixation of intra-articular distal humerus fractures in adults: A systematic review and meta-analysis.
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Total elbow joint replacement for fractures in the elderly—Functional and radiological outcomes
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References
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Journal ArticleDOI
Extensive posterior exposure of the elbow. A triceps-sparing approach.
TL;DR: This approach, which provides extensive exposure to the elbow joint, has been employed in 49 consecutive total elbow arthroplasties and results show no loss of triceps function and no significant weakness.
Journal ArticleDOI
Adult distal humeral metaphyseal fractures: epidemiology and results of treatment.
TL;DR: The epidemiology of a consecutive unselected series of adult distal humeral fractures is defined and the majority of these fractures are best treated surgically by rigid open reduction and internal fixation, except for “low” Type A and C fractures, which have a higher risk of union complications.
Journal ArticleDOI
Posterior surgical approaches to the elbow: a comparative anatomic study.
J. Mark Wilkinson,David Stanley +1 more
TL;DR: Olecranon osteotomy exposed more articular surface than the triceps splitting approach (Mann-Whitney test, P =.03) but was not significantly greater than thetriceps reflecting approach; however, even the oleCran on osteotomy approach failed to provide visualization of more than 40% of the distal humeral articularsurface.
Journal ArticleDOI
Surgical approaches to the elbow.
TL;DR: The current applied surgical anatomy of the elbow and the related surgical approaches are reviewed and the Global approach is preferred for acute elbow injuries.
Journal ArticleDOI
Triceps insufficiency following total elbow arthroplasty.
TL;DR: In most patients with triceps insufficiency following total elbow arthroplasty, it is possible to reconstruct the triceps mechanism with a procedure appropriately selected on the basis of tissue quality, tendon retraction, and the status of the olecranon.
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