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Distal Humeral Fractures - Dr. Kwee (Aug 22, 2006

Distal Humeral Fractures - Dr. Kwee (Aug 22, 2006

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ORIF <strong>Distal</strong> Humerus<br />

• Postero-lateral Approach<br />

– Used for isolated lateral column fractures<br />

– Position – Supine with arm across chest<br />

– Incision: curved from lateral epicondylar ridge to lateral<br />

border of ulnar<br />

– Internervous Plane:<br />

Anconeus and ECU<br />

supplied via radial<br />

and PIN respectively<br />

– Superficial dissection:<br />

incise deep fascia in<br />

line with skin incision<br />

to find ECU and Anconeus.<br />

They share common<br />

origin

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