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Anterior approach of Henry
2%
9/569
Lateral Kocher approach
3%
15/569
Medial column approach
10/569
Posterior extensile elbow approach with olecranon chevron osteotomy
90%
511/569
Closed reduction and percutaneous screw fixation
0%
1/569
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Intra-articular distal humerus fractures are best approached through a posterior elbow approach, including an olecranon chevron osteotomy to clearly visualize the reduction of the articular surface. The other stated approaches will not provide sufficient visualization of the joint surface to allow stable reduction. A closed reduction and screw fixation will not offer optimal fracture stability.
3.8
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