Comminuted Articular Fracture of the Distal Humerus

Multifragmentary articular fractures of the distal humerus represent one of the greatest challenges in trauma surgery, requiring precision in joint reduction and stability that allows for early mobilization.

This training provides a detailed overview of rigid fixation with variable-angle plates, presented in 4K video from a surgical perspective, with technical commentary and supplementary material in PDF format.

Training Focus:

• Positioning in prone position and wide access to the distal humerus.
• Identification and proximal protection of the ulnar nerve.
• Chevron osteotomy of the olecranon for wide articular exposure.
• Reduction of articular fragments with Kirschner wires in a joystick position.
• Permanent fixation with variable angle locking plates.
• Anatomical reconstruction of soft tissues and implant protection.
• Stability that allows for early mobilization and functional recovery.

Detailed Content:

• Optimized Access: Positioning and incision techniques that maximize exposure.
• Neurological Safety: Strategies for releasing and protecting the ulnar nerve throughout the procedure.
• Precise Osteotomy: Chevron incision in the olecranon with cartilage preservation, ensuring stability and anatomical preservation during reconstruction.
• Controlled Reduction: Use of K-wires as a joystick for manipulation of articular fragments and restoration of the spine.
• Stable Fixation: Application of variable-angle locking plates for secure alignment and biomechanical strength.
• Prevention of Stiffness: Rigid stability allowing early mobilization of the elbow.

Materials Included:

Detailed PDF: step-by-step guide to the technique, from accessing and protecting the ulnar nerve to osteotomy, reduction with K-wires, fixation with locking plates, and closure procedures.

Enhance your trauma surgery skills. Enroll now and master rigid fixation of supracondylar fractures of the distal humerus with variable-angle plates.