The anterior approach can be used to access the bicipital tuberosity of the radius and/or the radial neck/metaphysis.
The lateral Kocher/Kaplan approach can be used to access the radial head and the tip of the coronoid.
Inserting percutaneous instrumentation through safe zones reduces the risk of damage to neurovascular structures.
Medial: over the top
The Hotchkiss “over the top” approach is the most anterior of the medial approaches and provides good access to the tip of the coronoid process and the whole anterior elbow joint.
Medial: Taylor and Scham
The Taylor and Scham approach is a good choice for medial plate fixation of large, basilar fractures of the coronoid.
Medial: FCU split
In contrast to the Hotchkiss approach, the FCU split provides a better access to the anteromedial facet of the coronoid, the sublime tubercle, and the medial collateral ligament.