TechniquesA Strategy for a Triceps Tendon-Sparing Posterior Surgical Approach for Internal Fixation of Complex Fractures in the Distal Humerus and Humeral ShaftTrollegaard, Anton Mitchell (AT), MD*; Mikkelsen, Peter (PM), MD†Author Information *Department of Orthopaedic Surgery, Holbæk Hospital, Holbæk †Department of Orthopaedic Surgery, Glostrup University Hospital, Copenhagen, Denmark No financial biases exist for any of the researchers. The content of the submitted manuscript will not be referred in news media or the like before publication and there are no financial, ethical, or other conflicts of interest involved in the writing of this article including the researchers, their immediate families, and any research foundation with which they are affiliated, including receiving royalties, stock or stock options, consultant agreements, or ownership from, or with any commercial entity related to the subject of this work. No outside funding or grants were received in preparing this study. Permission to use a cadaver for dissection and also permission for photographing the dissection was given by Professor of Anatomy Jørgen Tranum-Jensen of the Institute of Medical Anatomy, The University of Copenhagen, Denmark. Reprints: Anton Mitchell Trollegaard, (AT), MD, Department of Orthopaedic Surgery, Holbæk Hospital, Holbæk, Denmark (e-mail: [email protected]). Techniques in Shoulder and Elbow Surgery: September 2010 - Volume 11 - Issue 3 - p 77-80 doi: 10.1097/BTE.0b013e3181e7c439 Buy Metrics Abstract An anatomical study of a paratricipital approach to the posterior distal humerus for fracture fixation providing a strategy for extending this incision proximally and distally without violating the triceps tendon mechanism is presented. The extendable strategy respects the integrity of the triceps tendon mechanism, thereby facilitating an expedient recovery of the elbow extensor mechanism function, and providing ample bone exposure for fracture fixation. © 2010 Lippincott Williams & Wilkins, Inc.