Approach for screw fixation of lateral condylar fracture
The following approach is used for screw fixation of lateral condylar fractures:
- Skin incision somewhat more posterior than normal
- Visualization of the joint as described above in the standard lateral approach
Subfascial exposure of the posterolateral aspect of the capitellum and metaphyseal fragment must respect the muscle attachments and vascularity, which enters the fragment from behind.