Position: Elbow flexed 90 degree and forearm in mid-prone
Landmarks:
- Lateral epicondyle of humerus
- Tip of radial styloid
Skin incision: Centered over fracture in a straight imaginary line joining lateral epicondyle of humerus and tip of radial styloid
Superficial dissection: Subcutaneous tissue and deep fascia are incised along the line of skin incision
Deep dissection: Interval is developed between Brachioradialis and Extensor carpi radialis longus (ECRL)
- Superficial radial nerve is not isolated from brachioradialis unless it is crossing the surgical field
- Pronator teres can be divided partially or completely
Haseeb M, Muzafar K, Ghani A, Bhat KA, Butt MF. A fresh look at radial shaft fracture fixation: The lateral approach to the radius. Journal of Orthopaedic Surgery. 2018;26(2). doi:10.1177/2309499018780871 [CC BY-NC 4.0]
Fracture fixation:
- Plate is contoured according to the lateral bow of the radius and plate is applied on the lateral surface of the radius
Further reading:
- Haseeb M, Muzafar K, Ghani A, Bhat KA, Butt MF. A fresh look at radial shaft fracture fixation: The lateral approach to the radius. Journal of Orthopaedic Surgery. 2018;26(2). doi:10.1177/2309499018780871
- Devaraj B, Navaneethan A, Direct lateral approach to shaft of radius – a cadaver study. Indian J Orthop Surg 2017;3(2):181-183
- Muhammad Hanif, Muhammad Saeed Akhtar, Raza Elahi Rana, Shahzad: Direct Lateral Approach to Shaft of Radius. Journal of Pakistan Orthopaedic Association 2014;26 (3):11-14.
He is the section editor of Orthopedics in Epomedicine. He searches for and share simpler ways to make complicated medical topics simple. He also loves writing poetry, listening and playing music.
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