Posterior surgical approaches to the elbow: a simple method of comparison of the articular exposure

被引:32
作者
Dakoure, P. W. H. [1 ,2 ]
Ndiaye, A. [1 ,2 ]
Ndoye, J. -M. [1 ]
Sane, A. D. [2 ]
Niane, M. M. [2 ]
Seye, S. I. L. [2 ]
Dia, A. [1 ]
机构
[1] Univ Cheikh Anta Diop, Lab Anat Organogenese, Fac Med Pharm & Odonto Stomatol, Dakar, Senegal
[2] CHU Dantec, Serv Orthoped Traumatol, Dakar, Senegal
关键词
elbow; anatomy; distal humerus; fractures; surgical approach;
D O I
10.1007/s00276-007-0263-8
中图分类号
R602 [外科病理学、解剖学]; R32 [人体形态学];
学科分类号
100101 ;
摘要
Purpose of the study Bilaterotricipital approach, triceps splitting and olecranon osteotomy are the three most common posterior approaches to the elbow. The aim of this study was to propose a simple technique to measure the exposure of distal articular surfaces of the humerus through these posterior surgical approaches. Materials and methods Each approach was performed on ten cadaver elbows. After the completion of each approach, the visible articular surface was painted yellow. The elbow was then disarticulated. The unexposed articulated surface (by the approach) was painted blue. The painted surfaces were then wrapped using a net with meshes. The articular percentage of exposure was measured by calculating the mesh occupied by each painted surface. Results The median exposed articular surface for the bilaterotricipital approach, the triceps splitting and the olecranon osteotomy was 26, 37 and 52%, respectively. Conclusion The rnethod is easy to perform and is reproducible.
引用
收藏
页码:671 / 674
页数:4
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