Twenty two patients with intra-articular fractures of the distal humerus were operatively treated using the extensor mechanism-sparing paratricipital approach as described by Schildhauer et al. All fractures were AO type C (six AO type C1, 11 C2 and five C3). There were 16 males and six females with a mean age of 32.5 years. Internal fixation was achieved with bilateral plates and screws. The r...

BACKGROUND This study presents the outcomes of low transcondylar fractures of the distal humerus treated by open reduction and internal fixation. METHODS Between 1996 and 2010, 263 distal humeral fractures were managed at our institution. Patients with a true low transcondylar fracture treated by open reduction and internal fixation were included. Fourteen patients form the basis of this stud...

Management of extra-articular distal humerus fractures presents a challenge to the treating surgeon due to the complex anatomy of the distal part of the humerus and complicated fracture morphology. Although surgical treatment has shown to provide a more stable reduction and alignment and predictable return to function, it has been associated with complications like iatrogenic radial nerve palsy...

objective: to evaluate the functional outcome and extensor apparatus of operative management of intra-articular fractures of distal humerus using modification of the triceps tongue flap approach. methods: this prospective study was conducted between june, 2012 to april,2014 in nims medical college and hospital, jaipur, rajasthan(india). we included 23 patients with intraarticular fractures of d...

The neurovascular and muscular anatomy about the humerus precludes the use of a truly "safe" fully extensile approach. Working around a spiraling radial nerve at the posterior midshaft requires either a transmuscular dissection or a triceps-avoiding paramuscular technique. To gain maximal exposure, the radial nerve must be mobilized at the spiral groove. For exposure of only the proximal humera...

background humerus supracondyllar fracture is one of the most common elbow injuries. choice of treatment depends on grading of the displacement. closed reduction and pinning is the preferred method of treatment. open reduction is indicated when we encounter neurovascular injury after closed reduction. one of the most important factors in the outcome of surgery is an appropriate approach that wo...