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The Triceps-Dividing Approach to Open Reduction of Complex Distal Humeral Fractures in Adolescents: A Cybex Evaluation of Triceps Function and Motion.

Kasser, James R. M.D.; Richards, Kathleen P.T.; Millis, Michael M.D.
Journal of Pediatric Orthopaedics:
The Triceps-Dividing Approach to Open Reduction of Complex Distal Humeral Fractures in Adolescents: A Cybex Evaluation of Triceps Function and Motion: PDF Only
Abstract

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.