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 articular reduction and stability that allows for early mobilization.

This training offers a detailed view of rigid fixation with variable-angle plates, presented in 4K video from the surgical perspective, with technical commentary and complementary PDF material.

Training Focus:

• Positioning in prone decubitus 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 used as joysticks.

• Definitive fixation with variable-angle locking plates.

• Anatomic 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 increase exposure.

• Neurological Safety: Strategies for release and protection of the ulnar nerve throughout the procedure.

• Precise Osteotomy: Olecranon Chevron with cartilage preservation, ensuring stability and anatomic preservation in reconstruction.

• Controlled Reduction: Use of K-wires as joysticks for manipulation of articular fragments and restoration of the columns.

• Stable Fixation: Application of variable-angle locking plates for secure alignment and biomechanical resistance.

• Prevention of Stiffness: Rigid stability allowing early mobilization of the elbow.

Included Material:
Detailed PDF: step-by-step of the technique, from access and ulnar nerve protection to osteotomy, reduction with K-wires, fixation with locking plates, and closure care.

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