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ORIF of a 2 Part Proximal Humerus Fracture

This video discusses the open reduction and internal fixation (ORIF) of the distal humerus fracture. The preoperative radiographs show the displaced distal humerus. This patient presents with an open wound. The fracture site is exposed. Ulnar nerve is identified and secured. The triceps are separated at the distal extend on the radial side to identify the centre of the olecranon fossa. Chevron osteotomy is performed for better vision. The articulating surface of the distal humerus is reduced. The fracture reduction can be confirmed by flexion. Lag screws, k-wires, posterolateral and medial precontoured plates are used for the fixation of the fractured articulating surface. The plates are secured with lock screws. Lacuna is fixed back to its position by plate and lock screws. Then, multilayer closure and skin stapling is done.