Document Detail


Newcastle approach to the elbow, a cadaveric study.
MedLine Citation:
PMID:  21069365     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
AIM: The aim of the current study was to assess the amount of the distal humerus articular surface exposed through the Newcastle approach, a posterior triceps preserving exposure of the elbow joint.
METHOD: Twenty-four cadaveric elbows (12 pairs) were randomized to receive one of the four posterior surgical approaches: triceps reflecting, triceps splitting, olecranon osteotomy and Newcastle approach. The ratio of the articular surface exposed for each elbow was calculated and compared.
RESULTS: The highest ratio observed was for Newcastle approach (0.75 ± 0.12) followed by olecranon osteotomy (0.51 ± 0.1), triceps reflecting (0.37 ± 0.08) and triceps splitting (0.35 ± 0.07). The differences between Newcastle approach and other approaches were statistically significant (p = 0.003 vs. osteotomy and <0.0001 vs. triceps reflecting and splitting).
CONCLUSION: The Newcastle approach sufficiently exposes the distal humerus for arthroplasty or fracture fixation purposes. Its use is supported by the current study.
Authors:
Rouin Amirfeyz; Damian Clark; Tom Quick; Neil Blewitt
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Publication Detail:
Type:  Journal Article     Date:  2010-11-11
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  131     ISSN:  1434-3916     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  747-51     Citation Subset:  IM    
Affiliation:
Trauma and Orthopaedics Department, Bristol Royal Infirmary, Level 5, Queen's Building, Bristol, BS2 8HW, UK, ramirfeyz@yahoo.com.
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