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Treatment of complex intercondylar humeral fractures in adolescents by open reduction and internal fixation through the transolecranon approach

Dreyfuss, Daniela; Eidelman, Markb

Journal of Pediatric Orthopaedics B: July 2014 - Volume 23 - Issue 4 - p 364–368
doi: 10.1097/BPB.0000000000000048
Upper Limb

This is a review of six cases of complex intercondylar fractures of the humerus in adolescents, treated operatively through a transolecranon approach. Outcome was assessed by means of the Mayo Elbow score, the Disability of the Arm, Shoulder and Hand score, and the Oxford Elbow score. All patients reported ‘good’ to ‘excellent’ results. One patient required revision surgery because of fracture nonunion, and all patients underwent removal of hardware from the olecranon after osteotomy union. The transolecranon approach is effective in visualization of complex intercondylar fractures, and good outcomes are expected following stable surgical fixation in adolescents.

aOrthopedic Department

bPediatric Orthopedic Unit, Meyer Children’s Hospital, Rambam Medical Center, Haifa, Israel

Correspondence to Daniel Dreyfuss, MD, 65 Shoshanat Hacarmel, Haifa 34323, Israel Tel: +972 502 061769; fax: +972 483 83044; e-mail: d_dreyfuss@rambam.health.gov.il

© 2014 by Lippincott Williams & Wilkins, Inc.