Questionnaire, Supplemental Digital Content 1.
Instructions: For each patient presentation, please select from multiple-choice, your answer for each of the following nine questions.
Fracture Classification
Classify the fracture according to the following classification schemes (Choose one):
1. OTA/AO Comprehensive Classification of Fractures (1) 13-A1 Extra-articular Apophyseal Avulsion (2) 13-A2 Extra-articular Metaphyseal Simple
(3) 13-A3 Extra-articular Metaphyseal Multifragmentary (4) 13-B1 Partial Articular Sagittal Lateral Condyle (5) 13-B2 Partial Articular Sagittal Medial Condyle (6) 13-B3 Partial Articular Coronal
(7) 13-C1 Complete Articular Simple, Metaphyseal Simple
(8) 13-C2 Complete Articular Simple, Metaphyseal Multifragmentary (9) 13-C3 Complete Articular Multifragmentary
2. Classification System of Jupiter and Mehne
(1) I. Intra-articular A. Single Column, Medial (2) I. Intra-articular A. Single Column, Lateral (3) I. Intra-articular B. Bicolumn, High T Pattern (4) I. Intra-articular B. Bicolumn, Low T Pattern (5) I. Intra-articular B. Bicolumn, Y Pattern (6) I. Intra-articular B. Bicolumn, H Pattern
(7) I. Intra-articular B. Bicolumn, Lambda Pattern (Medial) (8) I. Intra-articular B. Bicolumn, Lambda Pattern (Lateral) (9) I. Intra-articular C. Capitellum Type I
(10) I. Intra-articular C. Capitellum Type II (11) I. Intra-articular C. Capitellum Type III
(12) II. Extra-Articular Intracapsular A. Transcolumn High Extension (13) II. Extra-Articular Intracapsular A. Transcolumn High Flexion (14) II. Extra-Articular Intracapsular A. Transcolumn High Abduction (15) II. Extra-Articular Intracapsular A. Transcolumn High Adduction (16) II. Extra-Articular Intracapsular A. Transcolaumn Low Extension (17) II. Extra-Articular Intracapsular A. Transcolumn Low Flexion Fracture Descriptions
Evaluate the fracture for the Presence or Absence of:
3. A coronal fracture line Present or Absent 4. Articular comminution
Present or Absent 5. Metaphyseal comminution
Present or Absent
6. Separate, entirely articular fragments (no nonarticular surface; eg, a capitellar fracture) Present or Absent
7. Impacted articular fragments (displaced into a stable position rather than separated completely and unstable)
Present or Absent Treatment
8. Do you think you would use an olecranon osteotomy for your approach (Circle one):
Yes or No
9. Decide from among six possible treatment options (1) Non-operative management
(2) Open reduction and internal fixation with two plates PERPENDICULAR to one another (e.g., one plate directly medial on the medial column and one plate posterolateral on the lateral column)
(3) Open reduction and internal fixation with two plates PARALLEL to one another (e.g., one plate directly medial on the medial column and one plate directly on the lateral column)
(4) Open reduction and internal fixation with ONE plate (either medial or lateral column plating)
(5) Small headless screws or buried screws (6) Primary total elbow replacement.
