Combined olecranon osteotomy and posterior triceps splitting approach for complex fractures of the distal humerus

Complex fractures involving the intercondylar/supracondylar distal humerus with extension into the mid to proximal humeral shaft are difficult to manage through a single standard surgical approach. We present and review a technique that combines an olecranon osteotomy with a posterior triceps splitting approach to the humerus. This technique was used in two patients who presented with severe intercondylar fractures of the distal humerus and extension proximally to the midshaft of the humerus. The technique allowed extensive distal humerus exposure, including the supracondylar/intercondylar region, and excellent exposure of the humeral shaft proximally to the surgical neck.