International Journal of Orthopaedics Sciences

International Journal of Orthopaedics Sciences

2021, Volume 7 Issue 1

Distal humerus dual plating with triceps tongue technique: A case series

Author(s): Abhishek Garg, Umesh Yadav, Rakesh Sharma, Amit, Mudit Nemani, Nishan Yadav, Ravi Kumar, Abhay Choudhary, Ram Krishna Mishra and Bhisham Panwar
Abstract: Background: Fixation of intra-articular distal humerus fractures has remained a challenge to orthopaedic surgeons due to complicated anatomy of elbow, comminution at fracture site and osteopenia of articular surfaces. We aimed to evaluate the functional outcomes and complications after dual plating for distal humerus fractures with triceps tongue technique.
Material and methods: We conducted a retrospective study which consisted of 20 cases of distal humerus fracture with intraarticular extension and treated with open reduction and internal fixation with dual column plating using triceps tongue technique. Triceps Tongue approach allows exposure of distal humerus articular surface by forming an inverted V-shaped flap of distal triceps at the musculotendinous junction.
Results: Union was achieved in all cases. Mean time of fracture union was 12.55±1.82 weeks. There was no case of non-union although elbow stiffness occurred in one patient. The mean MEPS score was 84.45±8.18 with a range of 70-96.
Conclusion: Triceps Tongue approach is a simple and less technically demanding approach for the surgeon that can be used in management of the majority of the distal humeral fractures, giving adequate exposure of the surgical field, aiding in proper reduction of fracture fragments and thus obviating the need for an olecranon osteotomy.
Pages: 93-97  |  145 Views  20 Downloads
How to cite this article:
Abhishek Garg, Umesh Yadav, Rakesh Sharma, Amit, Mudit Nemani, Nishan Yadav, Ravi Kumar, Abhay Choudhary, Ram Krishna Mishra, Bhisham Panwar. Distal humerus dual plating with triceps tongue technique: A case series. Int J Orthop Sci 2021;7(1):93-97. DOI: 10.22271/ortho.2021.v7.i1b.2465
International Journal of Orthopaedics Sciences