Comminuted Articular Distal Humerus Fracture: Fixation

Study Comminuted Articular Distal Humerus Fracture: Fixation through an immersive first-person surgical case from the Bone Reconstruction channel on Surgie. The module focuses on positioning in prone decubitus and wide access to the distal humerus, identification and proximal protection of the ulnar nerve, and chevron osteotomy of the olecranon for wide articular exposure.

Procedure Overview

The case is organized for structured review of surgical anatomy, procedural sequencing, instrument handling, reduction or reconstruction strategy, implant positioning, and intraoperative verification. Expert narration connects the visual field with the decisions documented during the procedure.

What You Will Observe

• 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

Key Technical Decisions

• Access
• Neurological Safety
• Osteotomy
• Reduction
• Stable Fixation

Included With This Training

• Technical PDF summarizing the procedure, operative sequence, and key review points.

Learning Format

First-person operative footage, surgeon-led narration, and case-based visual review designed to support preparation before supervised clinical training.

Educational notice: This content supports professional education and does not replace formal training, institutional protocols, patient-specific planning, or supervised clinical judgment.