The combined olecranon osteotomy, lateral paratricipital sparing, deltoid insertion splitting approach for concomitant distal intra-articular and humeral shaft fractures.

Fractures of the distal humerus involving the articular surface can be challenging. The complexity of these fracture patterns increases when the distal fracture is associated with a concomitant humeral shaft fracture with significant proximal extension. The combined exposure technique described here allows for consistent and controlled posterior humeral exposure proximally from the traverse of the axillary nerve to the distal trochlear tip. It is especially useful for complex segmental fracture patterns where distal intra-articular involvement is present and a single approach is desired.