Triceps Split and Snip Approach for Distal Humerus Fractures

Abstract

Background: The senior author adopted a Triceps Split and Snip approach in 2011. This paper details the results of patients for whom this approach was utilised for open reduction and internal fixation of complex AO type C distal humerus fractures.Methods: A retrospective analysis of a single surgeon’s cases was conducted. Range of movement, as well as Mayo Elbow Performance Score (MEPS), and QuickDASH scores were evaluated. Two independent consultants with upper extremity practises evaluated pre- and post-operative radiographs.Results: Seven patients were available for clinical review. The mean age at the time of surgery was 47.7 years (range, 20.3–83.2) and the mean follow-up time was 3.6 years (range, 0.58–8). The average QuickDASH score was 15.85 (range, 0–52.3), average MEPS was 86.88 (range, 60–100) and average total arc of movement (TAM) was 103° (range, 70°–145°). All patients demonstrated 5/5 MRC triceps strength compared to the contralateral side.Conclusions: The Triceps Split and Snip approach for complex distal humerus fractures provided comparable mid-term clinical outcomes when compared to other published data regarding distal humerus fractures. It is versatile and does not compromise the intra-operative option of conversion to a total elbow arthroplasty.Level of Evidence: Level IV (Therapeutic)