The posterior approach to the elbow revisited.

Abstract

This retrospective study evaluates the clinical results of those patients with displaced pediatric elbow fractures who were surgically treated by using a modified posterior approach. Twenty patients were evaluated at an average follow-up time of 17.6 months. At the time of final follow-up, 19 of 20 patients had regained full flexion, and 18 of 20 patients had regained full extension. There were no angular deformities, loss of strength, late nerve palsies, or cases of avascular necrosis. Anatomic reduction is the key in the treatment of displaced pediatric elbow fractures. In our experience, the posterior approach to the elbow allows exact anatomic reduction, with no resultant angular deformities, and a range of motion that is comparable to other reported approaches.