A Strategy for a Triceps Tendon-Sparing Posterior Surgical Approach for Internal Fixation of Complex Fractures in the Distal Humerus and Humeral Shaft

Abstract

An anatomical study of a paratricipital approach to the posterior distal humerus for fracture fixation providing a strategy for extending this incision proximally and distally without violating the triceps tendon mechanism is presented. The extendable strategy respects the integrity of the triceps tendon mechanism, thereby facilitating an expedient recovery of the elbow extensor mechanism function, and providing ample bone exposure for fracture fixation.