Jose M Rapariz1, Silvia Martin2, Aina Far-Riera1, Serafin Lirola-Palmero1
1 Department of Orthopedic Surgery, Son Llatzer Hospital, Palma de Mallorca, Spain 2 Department of Radiology, Son Llatzer Hospital, Palma de Mallorca, Spain
Correspondence Address:
Jose M Rapariz C/Vista Alegre 23, 1 D, Palma de Mallorca - 07015 Spain
Source of Support: None, Conflict of Interest: None
DOI: 10.4103/0973-6042.131856
When treating a distal humeral shear fracture, comminution of the lateral column may preclude the reconstruction of the lateral articular fragments.
In this article a new strategy for the management lateral column comminuted shear-fractures (LCCSF) is presented, called the "built-on" surgical technique. Three goals are obtained by this technique: (1) Restoration of the lateral column bone stock; (2) Provision of a solid scaffold for the repair of the lateral ulnar collateral ligament (LUCL); and (3) Provision of a sable platform for the reconstruction and fixation of the articular fragments.
We will obtain these goals through the following surgical steps:
1/ Reconstruction of the lateral trochlea.
2/ Reconstruction of the lateral column
3/ Fixation of the Capitellum
4/ Reconstruction of the LUCL
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