This decision depends on associated elbow fracture components that need treatment. Chris Colton, Steve Krikler. For example, most fractures of the anteromedial facet have an associated LCL injury that needs repair. Authors of section Authors. Posterior triceps-sparing approach (triceps-on) and many more surgical approaches described step by step with text and illustrations. Combined Olecranon Osteotomy and Posterior Triceps Splitting Approach for Complex Fractures of the Distal Humerus. MAIN OUTCOME MEASUREMENT:Ulnar neuropathy (UN), fracture site bony nonunion, surgical site infection (SSI). Login to view comments. A prospective study was done in 17 cases of comminuted distal humeral intercondylar fractures. By Edmundo Berumen-Nafarrate 14 Videos. Archdeacon, Michael T. Author Information . Extended Posterior Elbow Approach. Related Content AUTOPLAY ON. Posterior plates for treatment of the olecranon require later removal in up to 20% of patients. Introduction. Open all credits. A midline posterior approach with elevation of medial and lateral flaps might be better in these cases. 1. Alternatively, a medial approach can be used. 22 The lower profile periarticular plates are proposed … The lateral para-olecranon approach is useful for the management of selected fractures of the distal humerus, preserving extension strength and providing satisfactory clinical outcomes, with no risk of olecranon osteotomy-related complications. Pol Rommens, Peter Trafton, Martin Jaeger. July 4, 2017 Extended posterior elbow approach with olecranon osteotomy on cadaver specimen for educational purposes. INTERVENTION:ORIF of distal humerus fractures performed using a posterior paratricipital approach with or without olecranon osteotomy. Department of Orthopaedic Surgery, College of Medicine, University of Cincinnati, Cincinnati, Ohio, U.S.A. Online ahead of print. Executive Editors. 2 Comments . Accepted March 12, 2003. Chevron osteotomy of the olecranon during the posterior approach of the elbow joint has become universally common. - See: Posterior Approach to the Humerus; - Discussion: - considered to be the most versatile approach to the elbow; - most surgeons use straight longitudinal incision, which avoids olecranon tip, by shifting the incision slightly laterally or medially; Posterior triceps-sparing approach (triceps-on) Share. We modified the technique to see if it is better than the standard technique to perform, reconstruct and finally evaluate the results. 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. Login. 2020 Nov 16. doi: 10.1097/BOT.0000000000002006. Click here to Login.