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Distal humerus shear-fractures: "Built-on" surgical technique


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
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.131856

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Year : 2014  |  Volume : 8  |  Issue : 1  |  Page : 34-37

 

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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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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
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.131856

Rights and Permissions

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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