Comparative efficacy and safety of different posterior surgical approaches for Intra-articular distal humerus fractures

Current evidence indicates that OO, TRA, TS, and TT posterior approaches provide comparable overall clinical outcomes in the management of AO/OTA type C complete intra-articular distal humerus fractures, with most outcome measures showing no statistically significant differences. SUCRA rankings reflect only relative probability trends within the network model and should not be interpreted as substitutes for effect sizes or statistical significance. Surgical approach selection should therefore be individualized based on fracture characteristics, soft tissue conditions, and surgeon experience.