title: Distal humerus shear-fractures: "Built-on" surgical technique.
abstract: When treating a distal humeral shear fracture, comminution of the lateral column may preclude the reconstruction of the lateral articular fragments. In this article a new strategy for the management lateral column comminuted shear-fractures (LCCSF) is presented, called the "built-on" surgical technique. Three goals are obtained by this technique: (1) Restoration of the lateral column bone stock; (2) Provision of a solid scaffold for the repair of the lateral ulnar collateral ligament (LUCL); and (3) Provision of a sable platform for the reconstruction and fixation of the articular fragments. We will obtain these goals through the following surgical steps: 1/ Reconstruction of the lateral trochlea. 2/ Reconstruction of the lateral column 3/ Fixation of the Capitellum 4/ Reconstruction of the LUCL.
authors.affiliation: Department of Orthopedic Surgery, Son Llatzer Hospital, Palma de Mallorca, Spain.
authors.forename: Jose M
authors.initials: JM
authors.lastname: Rapariz
authors.affiliation: Department of Radiology, Son Llatzer Hospital, Palma de Mallorca, Spain.
authors.forename: Silvia
authors.initials: S
authors.lastname: Martin
authors.affiliation: Department of Orthopedic Surgery, Son Llatzer Hospital, Palma de Mallorca, Spain.
authors.forename: Aina
authors.initials: A
authors.lastname: Far-Riera
authors.affiliation: Department of Orthopedic Surgery, Son Llatzer Hospital, Palma de Mallorca, Spain.
authors.forename: Serafin
authors.initials: S
authors.lastname: Lirola-Palmero
keywords: Capitellar and trochlear fractures; distal humerus; fractures; lateral column; shear fractures