The Open Approach to a Supracondylar Humerus Fracture

The open approach to a supracondylar humerus fracture may be needed for fractures, vascular compromise, and most commonly, irreducible fractures refractory closed management. Gartland types III IV as well flexion-type are more likely require an technique. Vascular compromise can overt is the case of white, pulseless extremity or subtle with “pink, pulseless” extremity. use Doppler signals intraoperatively helpful distinguish which cases warrant exploration. Intraoperative signs irreducibility include persistent gapping at site, loss Baumann’s angle, discontinuous columns on oblique views. In scenario technique necessary, our recommended setup involves positioning patient supine operating table radiolucent hand attached. An anterior antecubital fossa both cosmetic extensile. This preferred rreducible extension-type suspected interposition brachialis muscle fascia, median nerve sensory deficits, medial best ulnar entrapment, posterolateral displacement, unstable necessitating pinning. Postoperative treatment similar after pinning fracture.