Surgical Discussion

This this was done prone on a radio translucent operating table the arm positioned to the side of the patient with the elbow flexed 90 degrees over a small support attached to the table. We developed medial and lateral para tricipital windows and divided fibrous callus and interposed soft tissue from the fracture gap. Debridement of the fragment surfaces was performed followed by preliminary stabilisation with K wires before compression of the fracture using sharp reduction forceps. The application of 90/90 plates was also done using dynamic compression to achieve further fracture compression screw fixation. The patient went on to unremarkable bony Union despite continuing non-compliance in the post-operative period.