Lateral epicondyle osteotomy approach for coronal shear fractures of the distal humerus: Report of three cases and review of the literature.

Background: Coronal shear fractures of the distal humerus are rare injuries and are technically challenging to manage. Open reduction and internal fixation (ORIF) has become the preferred treatment because it provides anatomical reduction, stable internal fixation, and early motion, but the optimal surgical approach remains controversial.

Case Summary: We report three cases of coronal shear fractures of the distal humerus treated successfully by ORIF a novel surgical approach, in which lateral epicondyle osteotomy was performed based on the extended lateral approach.