Summary: Triceps function and elbow motion were evaluated in nine elbows after open reduction of complex distal humeral fractures through a triceps dividing approach. At 3-year 6-month follow-up, the patients had an average flexion/extension of 136[degrees] to -6[degrees]. Triceps peak torque decreased slightly, measured by Cybex testing with a 6% deficit at 60[degrees]/s, 3% deficit at 120[degrees]/s, and 3% deficit at 180[degrees]/s. We recommend triceps division rather than olecranon osteotomy in children who require open reduction of complex distal humeral fractures.
(C) Lippincott-Raven Publishers.