Handout Cover Sheet

Session Letter/Number: 469

Session Title: Distal Humerus Fractures: Surgical Techniques
Session Type: Technical Skills
Location: Room 28C
Session Date & Time: Friday, March 17, 2017, 4:00 PM - 6:00 PM

INSTRUCTORS WHO CONTRIBUTED TO THIS HANDOUT:

Moderator:
Utku Kandemir, MD
Faculty:
Animesh Agarwal, MD
Michael D. McKee, MD
Milan K. Sen, MD

The Academy reserves any and all of its rights to materials presented at the Annual
Meeting. Reproductions of any kind, by any person or entity, without prior written permission
from the Academy are strictly prohibited.
 ICL  469:  Distal  Humerus  Fractures:  Surgical  Techniques  
Moderator:  Utku  Kandemir  
Presenters:  Utku  Kandemir,  Michael  McKee,  Animesh  Agarwal,  Milan  Sen  
 
Introduction  and  Approaches:   Kandemir     10  min  
Paratricipital  (Alonso-­‐Llames)  
Olecranon  Osteotomy  
Standard  
Anconeus  Flap  Transolecranon  Osteotomy  
Triceps  Splitting  (Campbell)  
Triceps-­‐Reflecting  (Bryan-­‐Morrey)  
Triceps  Reflecting  Anconeus  Pedicle  (TRAP)  
 
Paratricipital  Approach:       Kandemir   15  min  
  Positioning  
  Incision,  developing  intervals,  pearls  for  visualization  
  Aids  of  reduction,  provisional  fixation  
  If  cannot  visualize/achieve  anatomic  reduction  of  joint  surface  
  Limitations  of  the  approach  
Fixation  
  Ulnar  nerve  
  Postoperative  immobilization,  postoperative  rehabilitation  protocol  
 
Triceps  Splitting  Approach:     McKee   15  min  
Positioning  
  Incision,  developing  intervals,  pearls  for  visualization  
  Aids  of  reduction,  provisional  fixation  
  Limitations  of  the  approach  
Fixation  
  Ulnar  nerve  
  Repair  of  triceps  
  Postoperative  immobilization,  postoperative  rehabilitation  protocol  
 
Olecranon  Osteotomy  Approach:   Agarwal   15  min  
  Positioning  
  Incision,  developing  intervals  
  Technique  of  olecranon  osteotomy  
  Aids  of  reduction,  provisional  fixation  
 Fixation  
  Ulnar  nerve  
  Fixation  of  osteotomy  
Limitations/problems  of  the  approach  
Postoperative  immobilization,  postoperative  rehabilitation  protocol  
 
Lateral  Approach:         Sen   15  min    
  Positioning  
  Incision,  pearls  for  visualization  
  Aids  of  reduction,  provisional  fixation  
  If  cannot  visualize/achieve  anatomic  reduction  of  joint  surface  
  Limitations  of  the  approach  
Fixation  
  Postoperative  immobilization,  postoperative  rehabilitation  protocol  
 
Case  based  discussion         20  min  
 
Q&A           30  min  
 
Nauth A et al. Distal humeral fractures in adults. J Bone Joint Surg Am. 2011 Apr
6;93(7):686-700.