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Within ORIF literature exists the triceps-reflecting anconeus pedicle (TRAP) approach: an alternative that offers adequate exposure while preserving key soft-tissue structures hypothesised to improve outcomes. Despite this, TRAP-related findings remain poorly collated and lacking consensus. Thus, this systematic review aims to synthesise TRAP-utilising intercondylar DHF ORIF outcomes to guide and inform surgical decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A PROSPERO-pre-registered query searched PubMed, Ovid-Embase, Cochrane, and Web of Science on June 26th, 2025, for relevant studies. Demographics, range-of-motion (ROM), and complications were among extracted variables. Frequency-weighted means (FWM) and standard deviations, supplemented by narrative synthesis, constituted data analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twelve moderate quality observational studies were included (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009295; 59.6% male; FWM age 38.7\u2009\u00b1\u200910.8 years; follow-up 26.1\u2009\u00b1\u20099.5 months). All patients underwent TRAP approach DHF ORIF for AO type C fractures (C1\u2009=\u200929.4%; C2\u2009=\u200940.7%; C3\u2009=\u200929.9%), most often from falls or motor vehicle accidents. Union was reported in all cases, and at a FWM 15.7\u2009\u00b1\u20094.7 weeks. FWM Flexion-extension arc was 113.8\u02da \u00b1 12.3, prosupination arc was 157.9\u02da \u00b1 8.1, and Mayo Elbow Performance Score was 85.5\u2009\u00b1\u20098.3. The pooled complication rate was 26.5%, with ulnar nerve-related issues (8.8%) and infection (8.5%) most frequent.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The TRAP approach to DHF ORIF appears to yield favorable union, ROM, and functional outcomes; however, ulnar nerve-related issues and infection warrant relative caution. Future large, randomised trials are needed to better optimise alternative surgical approach selection strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00590-025-04617-6","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T10:26:49Z","timestamp":1765189609000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical outcomes following Triceps-Reflecting Anconeus pedicle (TRAP) approach for treating intercondylar distal humerus fractures: A systematic review"],"prefix":"10.1007","volume":"36","author":[{"given":"Shahabeddin","family":"Yazdanpanah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Braeden R.","family":"Gooch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John W.","family":"Cyrus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin P.","family":"Cassidy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew S.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James R.","family":"Satalich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Vanderbeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"issue":"1","key":"4617_CR1","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1097\/00005131-200301000-00006","volume":"17","author":"CM Robinson","year":"2003","unstructured":"Robinson CM et al (2003) Adult distal humeral metaphyseal fractures: epidemiology and results of treatment. 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