Abstract
15May 2017 POSTEROMEDIAL APPROACH TO THE DISTAL HUMERUS FOR TREATMENT OF THE MEDIAL COLUMN FRACTURES IN CHILDREN, TECHNICAL NOTE. Ashraf Rashad Marzouk and Abdelaal Ahmed Hamed Kassem and Ahmed Sleem. Lecturer of Orthopedic Surgery, Faculty of Medicine, Sohag University, Egypt. Assistant lecturer of Pediatric Orthopedic Surgery, Faculty of Medicine, Sohag University, Egypt.
Highlights
Received: 12 March 2017 Final Accepted: 11 April 2017 Published: May 2017 condylar and epicondylar fractures with or without dislocation is usually difficult through the direct medial approach due to the small sized elbows, associated marked edema which makes exposure of the ulnar nerve and direct visualization and reduction of the fracture difficult tasks in some cases, disruption of the ulnar collateral ligament and the flexor-pronator muscles during dissection, discomfort for the surgeon, improper insertion of Kirschner wires for definite fixation through the incision which makes the skin closure difficult, lastly; some surgeons bend the K. wires in attempt to protrude them through the skin away from the incision which may sometimes affect the reduction
In order to overcome these difficulties we describe the posteromedial approach instead of direct medial approach for fractures which are posteromedial, this approach allows access to the fracture site by an incision directly over the ulnar nerve to avoid nerve traction or injury, it provides direct clear vision of the fracture site the swelling is without disruption of ligaments, and allows easier insertion of K. wires through the intact skin away from the incision
Medial humeral epicondylar fractures account for about 12 % of all elbow fractures.[1]
Summary
POSTEROMEDIAL APPROACH TO THE DISTAL HUMERUS FOR TREATMENT OF THE MEDIAL COLUMN FRACTURES IN CHILDREN, TECHNICAL NOTE. Ashraf Rashad Marzouk MD1 and Abdelaal Ahmed Hamed Kassem MSc2 and Ahmed Sleem MD2. 1. Lecturer of Orthopedic Surgery, Faculty of Medicine, Sohag University, Egypt. 2. Assistant lecturer of Pediatric Orthopedic Surgery, Faculty of Medicine, Sohag University, Egypt
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