TechniquesA New Single Volar Approach for Both-Bone Fractures of the Forearm: The Mediolateral Windows Approach ExtendedProcaccini, Roberto MD; Martiniani, Monia MD; Farinelli, Luca MD; Luciani, Pierfrancesco MD; Specchia, Nicola MD; Gigante, Antonio MDAuthor Information Department of Clinical and Molecular Science, Università Politecnica delle Marche, Ancona, Italy Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. Address correspondence and reprint requests to Luca Farinelli, MD, Department of Clinical and Molecular Science, Università Politecnica delle Marche, Via Tronto 10/A CAP, Ancona 60126, Italy. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: September 2020 - Volume 24 - Issue 3 - p 114-118 doi: 10.1097/BTH.0000000000000277 Buy Metrics Abstract Fractures of the forearm are common injuries in adults. Particularly, both-bone fractures of the radius and ulna are frequently encountered by orthopedic surgeons. To date, these fractures are typically treated with open reduction and internal fixation, because of the propensity for malunion of the radius and ulna and the resulting loss of forearm rotation. We propose a modification of the classic double approach for both-bone fractures of the distal radius and ulna. Indeed, we described a minimal and anatomic approach to prevent complications such as the heterotopic ossification of the interosseus membrane and vascular-nervous lesions. By a single anterior incision, we utilize 2 windows to expose the medial and lateral compartments of the forearm. In this way, we avoid the handling of the interosseous membrane, and we protect the ulnar, median, and radial nerves from the surgical approach. This technique is indicated for complex distal radius and ulna fractures. We exclude open fractures, and Monteggia, Galeazzi, or Essex-Lopresti lesions. In this report, we describe the surgical anatomy, surgical approach, and complications regarding this approach. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.