genortГений ортопедииGenij Ortopedii1028-44272542-131XЦЕНТР ИЛИЗАРОВА10.18019/1028-4427-2026-32-2-262-270genort-3456Research ArticleОбзорные статьиReview ArticlesРоль доступов и видов остеосинтеза локтевого отростка в хирургическом лечении пациентов с переломами дистального отдела плечевой костиRole of olecranon osteosynthesis types and approaches in surgical treatment of patients with distal humerus fractures: a systematic reviewhttps://orcid.org/0009-0003-8687-0866ПрокоповичТ. Е.ProkopovichT. E.

Тимофей Евгеньевич Прокопович — клинический ординатор

Новосибирск

Timofey E. Prokopovich — Clinical Resident

Novosibirsk

timp2354@gmail.comhttps://orcid.org/0000-0002-1271-9026МедведчиковА. Е.MedvedchikovA. E.

Артем Евгеньевич Медведчиков — кандидат медицинских наук, научный сотрудник, врач — травматолог-ортопед

Новосибирск

Москва

Artem E. Medvedchikov — Candidate of Medical Sciences, research associate, orthopaedic surgeon

Novosibirsk

Moscow

medikea@mail.ruhttps://orcid.org/0000-0002-9329-8373АнастасиеваЕ. А.AnastasievaE. A.

Евгения Андреевна Анастасиева — кандидат медицинских наук, врач — травматолог-ортопед

Новосибирск

Evgeniya A. Anastasieva — Candidate of Medical Sciences, orthopaedic surgeon

Novosibirsk

evgeniya.anastasieva@gmail.comhttps://orcid.org/0000-0003-1911-9741КириловаИ. А.KirilovaI. A.

Ирина Анатольевна Кирилова — доктор медицинских наук, заместитель директора по научной работе

Новосибирск

Irina A. Kirilova — Doctor of Medical Sciences, Deputy Director for Research

Novosibirsk

irinakirilova71@mail.ruНовосибирский научно-исследовательский институт травматологии и ортопедии им. Я.Л. ЦивьянаРоссияTsivyan Novosibirsk Research Institute of Traumatology and OrthopaedicsRussian FederationНовосибирский научно-исследовательский институт травматологии и ортопедии им. Я.Л. Цивьяна; Клинический госпиталь «MD Group: Мичуринский» (ООО «ХАВЭН»)РоссияTsivyan Novosibirsk Research Institute of Traumatology and Orthopaedics; Clinical Hospital MD Group MichurinskyRussian Federation202623042026322262270Copyright © Прокопович Т.Е., Медведчиков А.Е., Анастасиева Е.А., Кирилова И.А., 20262026Прокопович Т.Е., Медведчиков А.Е., Анастасиева Е.А., Кирилова И.А.Prokopovich T.E., Medvedchikov A.E., Anastasieva E.A., Kirilova I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ilizarov-journal.com/jour/article/view/3456Введение

Введение. Переломы дистального отдела плечевой кости составляют около 2 % всех переломов с ростом частоты до 5,7–8,3 случаев на 100 000 в год. Продолжается поиск оптимальных методов хирургического лечения. Несмотря на широкое применение остеотомии локтевого отростка для доступа плечевой кости, выбор типа остеотомии и фиксатора для сращения артифициального перелома остаётся за хирургом.

Цель работы — оценить результаты остеотомии локтевого отростка при выполнении доступа к блоку плечевой кости при переломах дистального отдела плечевой кости.

Материал и методы

Материал и методы. Поиск публикаций осуществлен в электронных базах PubMed, GoogleScholar, eLibrary за период c 2020 по 2025 гг. Отобраны исследования с описанием остеотомии локтевого отростка при хирургическом лечении пациентов с переломами дистального отдела плечевой кости (ДОПК). Систематизированы статьи, анализирующие виды остеотомий, типы фиксаторов и характер осложнений. После оценки согласно критериям PRISMA 595 статей в систематический обзор включено 18 статей с общим числом выборки 640 пациентов.

Результаты и обсуждение

Результаты и обсуждение. При оценке результатов лечения выявлено, что замедленная консолидация встречалась в пяти из 112 случаев (4,46 %), формирование ложного сустава — в 24 из 416 (5,76 %), перелом металлоконструкции — в 10 из 150 (6,6 %). Развитие инфекции области хирургического вмешательства в раннем послеоперационном периоде отмечено у 37 из 473 пациентов (7,82 %). Частота удаления металлоконструкции в послеоперационном периоде составила 55 из 297 случаев (18,51 %). Расчет производили по имеющимся данным для каждого описанного осложнения. Утверждать об оптимальном доступе, виде остеотомии и типе фиксации затруднительно ввиду ограниченности полученных данных. Продолжение экспериментальных и проспективных исследований остается актуальным.

Заключение

Заключение. Несмотря на частоту применения и воспроизводимость общепринятых методов фиксации артифициального перелома, результаты выполнения остеотомии локтевого отростка при выполнении доступа к блоку плечевой кости при переломах ДОПК остаются неудовлетворительными.

Introduction Distal humerus fractures account for about 2 % of all fractures, with annual fracture incidence up to 5.7–8.3 cases per 100,000 population. In this regard, optimal surgical treatment methods continue to be sought. Despite the widespread use of olecranon osteotomy to approach the humerus, the choice of an osteotomy type and fixator for an artificial fracture consolidation remains with the surgeon. This paper systematizes the available literature related to types of osteotomies, types of fixators, and characteristics of complications.

Purpose To evaluate the results of performing olecranon osteotomy to approach the humeral trochlea in the treatment of distal humerus fractures, to determine the optimal type of approach, type of osteotomy and type of fixators for an artificial olecranon fracture in the surgical treatment of distal humerus fractures.

Material and methods The search for publications was carried out in the PubMed, Google Scholar, eLibrary databases for the period from 2020 to 2025. Studies that described olecranon osteotomy in the surgical treatment of distal humerus fractures (DHFs) were selected. After evaluating 595 articles, 18 studies with a total sample size of 640 patients were included in the systematic review according to the PRISMA criteria.

Results and discussion The results of the review are: the overall incidence of delayed consolidation was 5 out of 112 cases (4.46 %), pseudarthrosis developed in 24 out of 416 (5.76 %), and metal implant broke in 10 out of 150 (6.6 %). Development of surgical site infection in the early postoperative period was described in 37 out of 473 (7.82 %). Metal implants were removed in the postoperative period in 55 out of 297 cases (18.51 %). The incidence was calculated based on the available data for each described complication.

Conclusion The results of olecranon osteotomy used to approach to the humeral trochlea in distal humerus fracture treatment have been evaluated. Based on the results of this systematic review, it is impossible to indicate the optimal approach, type of osteotomy and type of fixation due to the limited data. However, given the available statistics, it is possible to assume the advantage of the Tension Band Wiring (TBW) method. Therefore, the issue of conducting experimental and prospective studies remains open.

локтевой суставлоктевой отростокостеотомия локтевого отросткавнутрисуставные переломы дистального отдела плечаперелом плечевой костиelbow jointolecranonolecranon osteotomydistal humerus intra-articular fractureshumerus fractureReferencesNauth A, McKee MD, Ristevski B, et al. Distal humeral fractures in adults. J Bone Joint Surg Am. 2011;93(7):686-700. doi: 10.2106/ JBJS.J.00845.Nauth A, McKee MD, Ristevski B, et al. Distal humeral fractures in adults. J Bone Joint Surg Am. 2011;93(7):686-700. doi: 10.2106/JBJS.J.00845.Robinson CM, Hill RM, Jacobs N, et al. Adult distal humeral metaphyseal fractures: epidemiology and results of treatment. J Orthop Trauma. 2003;17(1):38-47. doi: 10.1097/00005131-200301000-00006.Robinson CM, Hill RM, Jacobs N, et al. Adult distal humeral metaphyseal fractures: epidemiology and results of treatment. J Orthop Trauma. 2003;17(1):38-47. doi: 10.1097/00005131-200301000-00006.Helfet DL, Haas NP, Schatzker J, et al. AO philosophy and principles of fracture management-its evolution and evaluation. J Bone Joint Surg Am. 2003;85(6):1156-1160.Helfet DL, Haas NP, Schatzker J, et al. AO philosophy and principles of fracture management-its evolution and evaluation. J Bone Joint Surg Am. 2003;85(6):1156-1160.Schildhauer TA, Nork SE, Mills WJ, Henley MB. Extensor mechanism-sparing paratricipital posterior approach to the distal humerus. J Orthop Trauma. 2003;17(5):374-378. doi: 10.1097/00005131-200305000-00009.Schildhauer TA, Nork SE, Mills WJ, Henley MB. Extensor mechanism-sparing paratricipital posterior approach to the distal humerus. J Orthop Trauma. 2003;17(5):374-378. doi: 10.1097/00005131-200305000-00009.Scolaro JA, Voleti P, Makani A, et al. Surgical fixation of extra-articular distal humerus fractures with a posterolateral plate through a triceps-reflecting technique. J Shoulder Elbow Surg. 2014;23(2):251-257. doi: 10.1016/j.jse.2013.09.020.Scolaro JA, Voleti P, Makani A, et al. Surgical fixation of extra-articular distal humerus fractures with a posterolateral plate through a triceps-reflecting technique. J Shoulder Elbow Surg. 2014;23(2):251-257. doi: 10.1016/j.jse.2013.09.020.Ziran BH. A true triceps-splitting approach for treatment of distal humerus fractures: a preliminary report. J Trauma. 2005;58(6):1306. doi: 10.1097/01.ta.0000169955.61747.5b.Ziran BH. A true triceps-splitting approach for treatment of distal humerus fractures: a preliminary report. J Trauma. 2005;58(6):1306. doi: 10.1097/01.ta.0000169955.61747.5b.Bryan RS, Morrey BF. Extensive posterior exposure of the elbow. A triceps-sparing approach. Clin Orthop Relat Res. 1982;(166):188-192.Bryan RS, Morrey BF. Extensive posterior exposure of the elbow. A triceps-sparing approach. Clin Orthop Relat Res. 1982;(166):188-192.O'Driscoll SW. The triceps-reflecting anconeus pedicle (TRAP) approach for distal humeral fractures and nonunions. Orthop Clin North Am. 2000;31(1):91-101. doi: 10.1016/s0030-5898(05)70130-9.O'Driscoll SW. The triceps-reflecting anconeus pedicle (TRAP) approach for distal humeral fractures and nonunions. Orthop Clin North Am. 2000;31(1):91-101. doi: 10.1016/s0030-5898(05)70130-9.Deakin DE, Deshmukh SC. The triceps-flexor carpi ulnaris (TRIFCU) approach to the elbow. Ann R Coll Surg Engl. 2010;92(3):240-242. doi: 10.1308/003588410X12628812458536.Deakin DE, Deshmukh SC. The triceps-flexor carpi ulnaris (TRIFCU) approach to the elbow. Ann R Coll Surg Engl. 2010;92(3):240-242. doi: 10.1308/003588410X12628812458536.WC Campbell. Incision for exposure of the elbow joint. Am J Surg. 1932;15(1):65-67. doi: 10.1016/S0002-9610(32)90997-0.WC Campbell. Incision for exposure of the elbow joint. Am J Surg. 1932;15(1):65-67. doi: 10.1016/S00029610(32)90997-0.MacAusland WR. Ankylosis of the elbow: With report of four cases treated by arthroplasty. JAMA. 1915;64:312-318.MacAusland WR. Ankylosis of the elbow: With report of four cases treated by arthroplasty. JAMA. 1915;64:312-318.Athwal GS, Raniga S. Distal humerus fractures. In Tornetta III P, Ricci WM, Ostrum RF, et al. (eds.) Rockwood and Green's Fractures in Adults. 7th ed. Philadelphia: Lippincott Williams and Wilkins. 2010;1:945-972.Athwal GS, Raniga S. Distal humerus fractures. In Tornetta III P, Ricci WM, Ostrum RF, et al. (eds.) Rockwood and Green's Fractures in Adults. 7th ed. Philadelphia: Lippincott Williams and Wilkins. 2010;1:945-972.Coles CP, Barei DP, Nork SE, et al. The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus. J Orthop Trauma. 2006;20(3):164-171. doi: 10.1097/00005131-200603000-00002.Coles CP, Barei DP, Nork SE, et al. The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus. J Orthop Trauma. 2006;20(3):164-171. doi: 10.1097/00005131-200603000-00002.Nauth A, McKee MD, Ristevski B, et al. Distal humeral fractures in adults. J Bone Joint Surg Am. 2011;93(7):686-700. doi: 10.2106/JBJS.J.00845.Nauth A, McKee MD, Ristevski B, et al. Distal humeral fractures in adults. J Bone Joint Surg Am. 2011;93(7):686-700. doi: 10.2106/JBJS.J.00845.Zalavras CG, Papasoulis E. Intra-articular fractures of the distal humerus-a review of the current practice. Int Orthop. 2018;42(11):26532662. doi: 10.1007/s00264-017-3719-4.Zalavras CG, Papasoulis E. Intra-articular fractures of the distal humerus-a review of the current practice. Int Orthop. 2018;42(11):2653-2662. doi: 10.1007/s00264-017-3719-4.Zlotolow DA, Catalano LW 3rd, Barron OA, Glickel SZ. Surgical exposures of the humerus. J Am Acad Orthop Surg. 2006;14(13):754765. doi: 10.5435/00124635-200612000-00007.Zlotolow DA, Catalano LW 3rd, Barron OA, Glickel SZ. Surgical exposures of the humerus. J Am Acad Orthop Surg. 2006;14(13):754-765. doi: 10.5435/00124635-200612000-00007.Morrey BF. The elbow and its disorders. In: Morrey BF. (ed.) Anatomy of the elbow joint. 3rd ed. Philadelphia: Saunders; 2000:13-42.Morrey BF. The elbow and its disorders. In: Morrey BF. (ed.) Anatomy of the elbow joint. 3rd ed. Philadelphia: Saunders; 2000:13-42.Xiong C, Ju J, Huang B, et al. Morphological map of the proximal ulna bare area: a computer-assisted anatomical study in relation to olecranon osteotomy. J Shoulder Elbow Surg. 2025:S1058-2746(25)00072-2. doi: 10.1016/j.jse.2024.12.012.Xiong C, Ju J, Huang B, et al. Morphological map of the proximal ulna bare area: a computer-assisted anatomical study in relation to olecranon osteotomy. J Shoulder Elbow Surg. 2025:S1058-2746(25)00072-2. doi: 10.1016/j.jse.2024.12.012.Wang AA, Mara M, Hutchinson DT. The proximal ulna: An anatomic study with relevance to olecranon osteotomy and fracture fixation. J Shoulder Elbow Surg. 2003;12(3):293-296. doi: 10.1016/s1058-2746(02)86803-3.Wang AA, Mara M, Hutchinson DT. The proximal ulna: An anatomic study with relevance to olecranon osteotomy and fracture fixation. J Shoulder Elbow Surg. 2003;12(3):293-296. doi: 10.1016/s1058-2746(02)86803-3.Hackl M, Lappen S, Neiss WF, et al. The bare area of the proximal ulna : An anatomical study on optimizing olecranon osteotomy. Orthopade. 2016;45(10):887-894. (In German) doi: 10.1007/s00132-016-3332-z.Hackl M, Lappen S, Neiss WF, et al. The bare area of the proximal ulna : An anatomical study on optimizing olecranon osteotomy. Orthopade. 2016;45(10):887-894. (In German) doi: 10.1007/s00132-016-3332-z.Petraco DM, Koval KJ, Kummer FJ, Zuckerman JD. Fixation stability of olecranon osteotomies. Clin Orthop Relat Res. 1996;(333):181-185.Petraco DM, Koval KJ, Kummer FJ, Zuckerman JD. Fixation stability of olecranon osteotomies. Clin Orthop Relat Res. 1996;(333):181-185.Hess S, Bürki A, Moor BK, et al. A biomechanical study comparing the mean load to failure of two different osteosynthesis techniques for step-cut olecranon osteotomy. JSES Rev Rep Tech. 2021;1(4):414-420. doi: 10.1016/j.xrrt.2021.07.004.Hess S, Bürki A, Moor BK, et al. A biomechanical study comparing the mean load to failure of two different osteosynthesis techniques for step-cut olecranon osteotomy. JSES Rev Rep Tech. 2021;1(4):414-420. doi: 10.1016/j.xrrt.2021.07.004.Кулакова Е.Н., Настаушева Т.Л., Кондратьева И.В. Систематическое обзорное исследование литературы по методологии scoping review: история, теория и практика. Вопросы современной педиатрии. 2021;20(3):210-222. doi: 10.15690/vsp.v20i3/2271.Kulakova EN, Nastausheva TL, Kondratjeva IV. Scoping Review Methodology: History, Theory and Practice. Current Pediatrics. 2021;20(3):210-222. (In Russ.) doi: 10.15690/vsp.v20i3/2271.Haglin JM, Lott A, Kugelman DN, et al. Olecranon Osteotomy Fixation Following Distal Humerus Open Reduction and Internal Fixation: Clinical Results of Plate and Screws Versus Tension Band Wiring. Orthopedics. 2021;44(1):e107-e113. doi: 10.3928/0147744720201007-03.Haglin JM, Lott A, Kugelman DN, et al. Olecranon Osteotomy Fixation Following Distal Humerus Open Reduction and Internal Fixation: Clinical Results of Plate and Screws Versus Tension Band Wiring. Orthopedics. 2021;44(1):e107-e113. doi: 10.3928/01477447-20201007-03.Zhou M, Xue Y, Jia X, et al. Treatment of the terrible triad of the elbow by olecranon osteotomy: a retrospective cohort study. PeerJ. 2024;12:e18469. doi: 10.7717/peerj.18469.Zhou M, Xue Y, Jia X, et al. Treatment of the terrible triad of the elbow by olecranon osteotomy: a retrospective cohort study. PeerJ. 2024;12:e18469. doi: 10.7717/peerj.18469.Somerson JS, Morrey ME, Sanchez-Sotelo J, Morrey BF. Predictors of reoperation after internal fixation of intra-articular distal humerus fractures. Shoulder Elbow. 2022;14(1):76-83. doi: 10.1177/1758573219895972.Somerson JS, Morrey ME, Sanchez-Sotelo J, Morrey BF. Predictors of reoperation after internal fixation of intraarticular distal humerus fractures. Shoulder Elbow. 2022;14(1):76-83. doi: 10.1177/1758573219895972.Weber MB, Cho E, Evans PJ, et al. Triceps tongue versus olecranon osteotomy for intra-articular distal humeral fractures: a matchedcohort study. J Shoulder Elbow Surg. 2022;31(6):1215-1223. doi: 10.1016/j.jse.2022.01.128.Weber MB, Cho E, Evans PJ, et al. Triceps tongue versus olecranon osteotomy for intra-articular distal humeral fractures: a matched-cohort study. J Shoulder Elbow Surg. 2022;31(6):1215-1223. doi: 10.1016/j.jse.2022.01.128.Cañete San Pastor P, Lopez Valenciano J, Copete I, Prosper Ramos I. Fixation of olecranon osteotomy only with 6'5 mm partially trheaded cancellous screw is a safe an effective method used in surgical management of distal humerus fractures. J Exp Orthop. 2021;8(1):4. doi: 10.1186/s40634-020-00317-8.Cañete San Pastor P, Lopez Valenciano J, Copete I, Prosper Ramos I. Fixation of olecranon osteotomy only with 6'5 mm partially trheaded cancellous screw is a safe an effective method used in surgical management of distal humerus fractures. J Exp Orthop. 2021;8(1):4. doi: 10.1186/s40634-020-00317-8.Phadnis JS, Vaughan A, Luokkala T, et al. Comparison of all suture fixation with tension band wiring and plate fixation of the olecranon. Shoulder Elbow. 2020;12(6):414-421. doi: 10.1177/1758573219831662.Phadnis JS, Vaughan A, Luokkala T, et al. Comparison of all suture fixation with tension band wiring and plate fixation of the olecranon. Shoulder Elbow. 2020;12(6):414-421. doi: 10.1177/1758573219831662.Kellam PJ, Amin AA, Anthony RT, et al. Mini-fragment plate fixation after olecranon osteotomy for distal humerus fractures. J Shoulder Elbow Surg. 2025;34(5):1254-1261. doi: 10.1016/j.jse.2024.08.036.Kellam PJ, Amin AA, Anthony RT, et al. Mini-fragment plate fixation after olecranon osteotomy for distal humerus fractures. J Shoulder Elbow Surg. 2025;34(5):1254-1261. doi: 10.1016/j.jse.2024.08.036.Sinkler MA, Adelstein JM, Kodsy MM, et al. Postoperative dorsal step-off predicts olecranon osteotomy union: a retrospective cohort study. Eur J Orthop Surg Traumatol. 2024;35(1):49. doi: 10.1007/s00590-024-04169-1.Sinkler MA, Adelstein JM, Kodsy MM, et al. Postoperative dorsal step-off predicts olecranon osteotomy union: a retrospective cohort study. Eur J Orthop Surg Traumatol. 2024;35(1):49. doi: 10.1007/s00590-024-04169-1.Wilson ES, Buckwalter JA 5th, Henning G, et al. Inclusion of Olecranon Osteotomy With the Posterior Approach for Fixation of Distal Humerus Fractures (OTA/AO 13) Does Not Increase Surgical Complications. J Orthop Trauma. 2021;35(7):e223-e227. doi: 10.1097/BOT.0000000000002006.Wilson ES, Buckwalter JA 5th, Henning G, et al. Inclusion of Olecranon Osteotomy With the Posterior Approach for Fixation of Distal Humerus Fractures (OTA/AO 13) Does Not Increase Surgical Complications. J Orthop Trauma. 2021;35(7):e223-e227. doi: 10.1097/BOT.0000000000002006.Ailani R, Bhuyan SK, Prasad BK, et al. Clinical outcomes of triceps reflecting anconeus pedicle and olecranon osteotomy approach for distal humerus intercondylar fractures. World J Orthop. 2024;15(6):570-577. doi: 10.5312/wjo.v15.i6.570.Ailani R, Bhuyan SK, Prasad BK, et al. Clinical outcomes of triceps reflecting anconeus pedicle and olecranon osteotomy approach for distal humerus intercondylar fractures. World J Orthop. 2024;15(6):570-577. doi: 10.5312/wjo.v15.i6.570.Meldrum A, Kwong C, Archibold K, et al. Olecranon Osteotomy Implant Removal Rates and Associated Complications. J Orthop Trauma. 2021;35(5):265-270. doi: 10.1097/BOT.0000000000001979.Meldrum A, Kwong C, Archibold K, et al. Olecranon Osteotomy Implant Removal Rates and Associated Complications. J Orthop Trauma. 2021;35(5):265-270. doi: 10.1097/BOT.0000000000001979.Jamoh K, Tonk G. How to Choose Between the Transolecranon and Triceps-Reflecting Approaches to Treat Distal Humerus Fractures in Adults: A Prospective Study. Rev Bras Ortop (Sao Paulo). 2022;57(2):301-307. doi: 10.1055/s-0041-1741444.Jamoh K, Tonk G. How to Choose Between the Transolecranon and Triceps-Reflecting Approaches to Treat Distal Humerus Fractures in Adults: A Prospective Study. Rev Bras Ortop (Sao Paulo). 2022;57(2):301-307. doi: 10.1055/s0041-1741444.Jupiter JB, Neff U, Holzach P, Allgöwer M. Intercondylar fractures of the humerus. An operative approach. J Bone Joint Surg Am. 1985;67(2):226-239.Jupiter JB, Neff U, Holzach P, Allgöwer M. Intercondylar fractures of the humerus. An operative approach. J Bone Joint Surg Am. 1985;67(2):226-239.Ding J, Yin WJ, Zhang BK, et al. Bilateral triceps tendon approach is flexible and efficient in the treatment of type C distal humerus fractures. Chin J Traumatol. 2022;25(3):145-150. doi: 10.1016/j.cjtee.2021.12.001.Ding J, Yin WJ, Zhang BK, et al. Bilateral triceps tendon approach is flexible and efficient in the treatment of type C distal humerus fractures. Chin J Traumatol. 2022;25(3):145-150. doi: 10.1016/j.cjtee.2021.12.001.Ansari MF, Khan NA, Atif AM. Management of type 13C2 distal humerus fractures by olecranon osteotomy approach versus triceps sparing approach-our experience with sixty cases. Int Orthop. 2020;44(12):2735-2742. doi: 10.1007/s00264-020-04785-6.Ansari MF, Khan NA, Atif AM. Management of type 13C2 distal humerus fractures by olecranon osteotomy approach versus triceps sparing approach-our experience with sixty cases. Int Orthop. 2020;44(12):2735-2742. doi: 10.1007/s00264-020-04785-6.Yıldız V, Köse A, Aydın A, et al. Clinical and radiological results of three different techniques for fixation of the olecranon osteotomy in the surgical treatment of distal humerus fractures: A retrospective comparison of plate-screw, tension band and intramedullary nail. Acta Orthop Traumatol Turc. 2021;55(5):410-416. doi: 10.5152/j.aott.2021.20440.Yıldız V, Köse A, Aydın A, et al. Clinical and radiological results of three different techniques for fixation of the olecranon osteotomy in the surgical treatment of distal humerus fractures: A retrospective comparison of plate-screw, tension band and intramedullary nail. Acta Orthop Traumatol Turc. 2021;55(5):410-416. doi: 10.5152/j.aott.2021.20440.Butala RR, Samant PD, Mehra S. Olecranon Osteotomy by a Gigli Saw versus Chevron's Osteotomy for Exposure of Intra-articular Distal Humerus: A Comparative Study. Malays Orthop J. 2022;16(3):61-69. doi: 10.5704/MOJ.2211.011.Butala RR, Samant PD, Mehra S. Olecranon Osteotomy by a Gigli Saw versus Chevron's Osteotomy for Exposure of Intra-articular Distal Humerus: A Comparative Study. Malays Orthop J. 2022;16(3):61-69. doi: 10.5704/MOJ.2211.011.Kumar D, Kataria M, Srivastava A, et al. Outcome of Complex Coronal Shear Fractures of the Distal Humerus (Dubberley Type 3) Managed by the Transolecranon Approach. Indian J Orthop. 2024;58(8):1118-1125. doi: 10.1007/s43465-024-01153-z.Kumar D, Kataria M, Srivastava A, et al. Outcome of Complex Coronal Shear Fractures of the Distal Humerus (Dubberley Type 3) Managed by the Transolecranon Approach. Indian J Orthop. 2024;58(8):1118-1125. doi: 10.1007/s43465-02401153-z.Song ZF, Zhao WQ, Zhang ZL, Huang JF. Surgical Outcomes of Olecranon Osteotomy Approach Combined With Submerged Kirschner Wires and Plate Fixation for Duckerley IIIB Distal Humeral Coronal Shear Fractures. Orthop Surg. 2025;17(4):1255-1264. doi: 10.1111/os.70005.Song ZF, Zhao WQ, Zhang ZL, Huang JF. Surgical Outcomes of Olecranon Osteotomy Approach Combined With Submerged Kirschner Wires and Plate Fixation for Duckerley IIIB Distal Humeral Coronal Shear Fractures. Orthop Surg. 2025;17(4):1255-1264. doi: 10.1111/os.70005.

The authors declare that there are no conflicts of interest present.