Surgical Discussion

This case was dancer pine with the arm draped 3li to the side of the patient on a mobile on table. The surgical approach was an extended lateral approach h&m over the lateral epicondyle. This provides excellent access to the intra-articular aspect of the anterior joint facilitating retrieval and reduction of the approximately displaced fragments. The fragments were provisionally fixed with kirschner wires before definitive fixation with a combination of headless screws and posteroanterior cannulated screws. The long lateral to medial screw acted as a type of jail screw secondarily stabilising the other Screwfix station. The suture anchors R4 refixation of the extensor origin from the lateral epicondyle which was partially reflected as part of the surgical exposure. This patient went on to unremarkable union and consolidation with excellent range of motion of 0-5-120°.