Clinical Study

Treatment of AO Type C Fractures of the Distal Part of the Humerus through the Bryan-Morrey Triceps-Sparing Approach

Table 1

Reported complications related to the olecranon osteotomy approach for the treatment of distal humerus fractures AO type C.

Authors, year Nonunion or delayed unionOther complications

Athwal et al. 2009 [2]171 olecranon nonunion4 wound problems (2 dehiscences and 2 wound breakdowns)
Coles et al. 2006 [4]701 delayed olecranon union2 early revisions of osteotomy fixation
18 removal of olecranon implants (5 isolated and 13 associated to another procedure)
Doornberg et al. 2007 [22]19None2 wound infections
Elhage et al. 2001 [5]391 olecranon nonunion1 infection related to the prominent Kirschner wire
Gofton et al. 2003 [6]17None1 plate screw penetrating the proximal radioulnar joint, interfering with forearm rotation, and requiring a second procedure
1 removal of olecranon implant
Greiner et al. 2008 [23]121 delayed olecranon unionNone
Gupta and Khanchandani 2002 [7]13None1 wound breakdown and subsequent infection, needing surgical revision
4 proximal migrations of the K-wires needing surgical revision
Holdsworth and Mossad 1990 [24]573 olecranon nonunion1 septic olecranon bursitis
2 patients needing removal of the Kirchner wires
Kundel et al. 1996 [25]554 olecranon nonunionNone
Liu et al. 2009 [8]35None2 superficial wound infections
McKee et al. 2000 [9]26None3 removal of olecranon implants due to hardware complaints
Pajarinen and Björkenheim 2002 [10]141 olecranon nonunionNone
Ring et al. 2004 [11]45None1 loosening of the wire fixation requiring reoperation (plate fixation)
12 removal of the wires (6 hardware complaints; 1 septic olecranon bursitis; 5 associated to another procedure)
Rübberdt et al. 2008 [12]11NoneNone
Sanchez-Sotelo et al. 2007 [26]5NoneNone
Sané et al. 2009 [13]141 olecranon nonunion5 bad quality olecranon fixations

: number of distal humerus fractures.