{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:43:41Z","timestamp":1784335421266,"version":"3.55.0"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To determine if inclusion of an olecranon osteotomy to the posterior paratricipital approach for operative fixation of distal humerus fractures significantly affects surgical complication rates (OTA\/AO 13).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective comparative cohort study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Level 1 trauma center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients\/Participants:<\/jats:title>\n            <jats:p>Three hundred four patients underwent open reduction internal fixation of a distal humerus fracture between 2007 and 2017. Of those, 134 met inclusion criteria (\u226515 years, OTA\/AO fracture type 13A, B, or C, and posterior surgical approach) for the study (n = 64 with olecranon osteotomy; n = 70 without olecranon osteotomy).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Open reduction internal fixation of distal humerus fractures performed using a posterior paratricipital approach with or without olecranon osteotomy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measure:<\/jats:title>\n            <jats:p>Ulnar neuropathy (UN), fracture site bony nonunion, and surgical site infection (SSI).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Thirty-one (33.3%) who underwent the paratricipital approach without olecranon osteotomy, and 15 patients (26.8%) who underwent olecranon osteotomy reported postoperative UN with no significant difference between approaches (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.438). There was no significant difference in rates of SSI (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.418) or fracture site nonunion (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.263) when comparing the approaches. Subjects with Charlson comorbidity index \u22652 were more likely to not undergo an olecranon osteotomy (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.01), whereas subjects with more complex fractures by OTA\/AO classification were more likely to have an olecranon osteotomy approach (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.001).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Addition of an olecranon osteotomy with the paratricipital approach for fixation of distal humerus fractures does not result in higher rates of UN, fracture site nonunion, or SSI.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000002006","type":"journal-article","created":{"date-parts":[[2020,11,21]],"date-time":"2020-11-21T02:55:17Z","timestamp":1605927317000},"page":"e223-e227","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Inclusion of Olecranon Osteotomy With the Posterior Approach for Fixation of Distal Humerus Fractures (OTA\/AO 13) Does Not Increase Surgical Complications"],"prefix":"10.1097","volume":"35","author":[{"given":"Erin S.","family":"Wilson","sequence":"first","affiliation":[{"name":"University of Iowa, Carver College of Medicine, Iowa City, IA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph A.","family":"Buckwalter","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and 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