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The posterolateral approach to the distal humerus for open reduction and internal fixation of fractures of the lateral condyle in children

N. Mohan, MS Orth, Orthopaedic Registrar; J. B. Hunter, FRCS Ed (Orth), Consultant Orthopaedic Surgeon; and C. L. Colton, FRCS Ed (Orth), Consultant Orthopaedic Surgeon

Department of Trauma and Orthopaedics, Queen’s Medical Centre, University Hospital, Nottingham NG7 2UH, UK.

Correspondence should be sent to Mr N. Mohan at the Institute of Orthopaedics, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.

Our study describes a posterolateral approach to the distal humerus for open reduction and internal fixation of displaced fractures of the lateral condyle. A total of 20 patients had open reduction and internal fixation over a four-year period using this approach, and at a mean follow-up of 12 months had full union, range of movement and no complications, either clinical or radiological. This approach is well suited to the exact visualisation and accurate reduction of this difficult fracture with minimal dissection of tissues.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General