A Modified Surgical Approach to the Distal Humerus: The Triceps Bundle Technique

Area of Science:

• Orthopedic Surgery
• Surgical Techniques
• Upper Extremity Reconstruction

Background:

• Traditional surgical approaches to the distal humerus can have limitations in visualization.
• Fractures and the need for total elbow replacement necessitate optimal surgical access.

Purpose of the Study:

• To describe a modified fascial tongue surgical approach to the distal humerus.
• To enhance visualization and access using the radial and ulnar triceps bundles.

Main Methods:

• Modification of the traditional fascial tongue approach.
• Reflection and utilization of radial and ulnar triceps bundles.
• Surgical technique illustrated with intra-operative photographs.

Main Results:

• The triceps bundle technique provides complete visualization of the distal humerus.
• This extensile approach allows access to the entirety of the distal humerus.
• Excellent visualization is provided to the operating surgeon.

Conclusions:

• The modified triceps bundle technique improves access and visualization compared to the standard fascial tongue approach.
• This method offers an alternative to olecranon osteotomy, avoiding associated complications.
• The technique is suitable for open reduction internal fixation of distal humerus fractures and total elbow replacement.