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Triceps Split and Snip Approach for Distal Humerus Fractures
John Erickson1, Peter Poon1, Matthew Barrett1
1Department of Orthopaedic Surgery, North Shore Hospital, Auckland, New Zealand.
The Journal of Hand Surgery Asian-Pacific Volume
|March 3, 2023
Summary
The Triceps Split and Snip approach offers effective open reduction and internal fixation for complex distal humerus fractures. This method yields comparable mid-term outcomes and maintains flexibility for potential total elbow arthroplasty.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
Background:
- The Triceps Split and Snip approach was adopted in 2011 for treating distal humerus fractures.
- This study evaluates its efficacy in complex AO type C fractures.
Purpose of the Study:
- To detail the clinical outcomes of patients treated with the Triceps Split and Snip approach.
- To assess the functional recovery and radiographic results following this surgical technique.
Main Methods:
- Retrospective analysis of a single surgeon's cases involving open reduction and internal fixation.
- Evaluation of range of motion, Mayo Elbow Performance Score (MEPS), and QuickDASH scores.
- Radiographic assessment by independent upper extremity consultants.
Main Results:
- Seven patients reviewed with a mean follow-up of 3.6 years.
- Average QuickDASH score of 15.85, average MEPS of 86.88, and average Total Arc of Movement (TAM) of 103°.
- All patients maintained 5/5 MRC triceps strength compared to the contralateral side.
Conclusions:
- The Triceps Split and Snip approach provides comparable mid-term clinical outcomes for complex distal humerus fractures.
- The technique is versatile and preserves the option for conversion to total elbow arthroplasty if needed.
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