Does Surgical-approach Affect Outcome After Fixation of Intra-articular Fractures of Distal Humerus?

Distal Humerus Fracture Clinical Trial

Official title:

Surgical Approach for Distal Humerus Fracture

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03833414
• Other study ID #: 3799-Sur-ERC-15
• Status: Completed
• Start date: January 2010
• Est. completion date: December 2015

Study information

• Verified date: February 2019
• Source: Aga Khan University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

observational study at tertiary care hospital and level 1 trauma centre aiming to evaluate the difference between two common surgical approaches to distal humerus fracture fixation.

Description:

Fractures around the distal humerus fractures make up to 2% of all fractures. Complex intra-articular distal humerus fractures present as challenge to restore of painless, stable and mobile elbow joint. Surgical exposure to all critical structures is of paramount importance to achieve anatomic reduction. Conflict still persists regarding the choice of ideal approach between triceps-sparing approach compared with olecranon osteotomy approach. In this study investigators compare the effect of surgical approach triceps lifting vs olecranon osteotomy on the functional outcome after fixation of distal humerus intra-articular fractures. Investigators conducted a non-funded, non-commercial, retrospective cohort study on participants with closed distal humerus intra-articular fractures between 2010 and 2015 at our tertiary care level-1 trauma and university hospital. Participants >18 years of age with closed complex intra-articular distal humerus fracture were operated using two different surgical approaches, either triceps lifting approach (Group1) or with olecranon osteotomy (Group 2). Functional evaluation of the participant is carried out with quick DASH scores at the final 1 year follow-up. Investigators concluded that triceps lifting approach can be used equally efficiently for exposure of these complex distal humerus injuries with no comprise in visibility of articular fragments.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 43
• Est. completion date: December 2015
• Est. primary completion date: December 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• All patients >18 years of age with closed complex intra-articular distal humerus fracture (Intercondylar Fracture Riseborough Radin Classification type lll and lV) were included.

Exclusion Criteria:

• Patients with CVA (Cerebero-Vascular Accident), dementia and associated with neurovascular injuries which may impede with rehabilitation are excluded

Related Conditions & MeSH terms

• Distal Humerus Fracture
• Fractures, Bone
• Humeral Fractures
• Intra-Articular Fractures

Intervention

Procedure:
• triceps lifting and olecranon osteotomy approaches
two different surgical approaches for distal humerus fracture

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Aga Khan University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Functional outcome using Quick DASH Score	Disabilities of Arm, Shoulder & Hand	1 years followup