The triceps-reflecting anconeus pedicle (TRAP) approach for distal humeral fractures and nonunions
The triceps-reflecting anconeus pedicle (TRAP) approach for distal humeral fractures and nonunions
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DOI：
10.1016/s0030-5898(05)70130-9
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发表时间：
2000-01-01
影响因子：
1.8
通讯作者：
O'Driscoll, SW
中科院分区：
文献类型：
--
作者：
O'Driscoll, SW
与大多数外科手术一样，充分暴露是治疗肱骨远端骨折的先决条件。尽管这些骨折的复位和固定可能具有挑战性，但基于暴露，这些骨折或多或少会变得难以治疗；成功治疗的并发症可能会因暴露而出现。在这篇文章中，作者描述了三头肌反射肘骨蒂(TRAP)入路到肱骨远端，它为骨折和骨不连的治疗提供了一种可伸展和通用的入路。Trap入路提供几乎与尺骨鹰嘴截骨术相同的显露，没有截骨术的并发症，并具有保留整个尺骨鹰嘴作为模板以组装滑车关节碎片的额外优势。
Adequate exposure is a prerequisite fur treatment of distal humeral fractures, as with most surgical procedures. Challenging as they may be to reduce and fix, these fractures can be made more or less difficult to treat based on exposure; complications of successful treatment may arise as a result of the exposure. In this article the authors describe the triceps-reflecting anconeus pedicle (TRAP) approach to the distal humerus, which provides an extensile and versatile approach for treatment of fractures and nonunions. The TRAP approach provides almost the same exposure as an olecranon osteotomy, without the complications of the osteotomy, and has the added advantage of retaining the whole olecranon to use as a template against which to assemble the articular fragments of the trochlea.