PMC5266169_01
Preoperative roentgenogram of the left upper extremity. Radiographs showed severe displacement of the distal humeral diaphyseal fracture.
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F1
The fracture was not reduced and was remarkably unstable (Fig. 1).
Preoperative (A) anteroposterior magnetic resonance image of the left upper extremity and (B) lateral magnetic resonance image of the left elbow. A vertical fracture line was seen extending into the lateral humeral condylar physis of the distal humerus.
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F2
Magnetic resonance imaging showed a vertical fracture line extending into the lateral humeral condylar physis of the distal humerus (Fig. 2).
Open reduction procedure. (A and B) The displacement of the fracture was easily reduced by open reduction using an anterior mini-incision and thumb compression.
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F3
After removal of the brachial muscle, the displacement of the fracture was easily reduced and the alignment could be maintained by thumb compression (Fig. 3).
Early postoperative roentgenograms of the left elbow. (A and B) Percutaneous intramedullary fixation provided stability of the distal humeral diaphyseal fracture.
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F4
Percutaneous intramedullary fixation was performed using 1.5-mm Kirschner wires, inserted from the humeral distal metaphysis (Fig. 4).
Postoperative roentgenograms of the left elbow at 32 months postoperatively. (A and B) Radiographs showed adequate healing without any deformity of the elbow.
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F5
At the final follow-up, 32 months postoperatively, plain radiographs showed adequate healing without any deformity of the elbow (Fig. 5).
Postoperative photographs of left elbow at 32 months postoperatively. The range of motion was 0  to 135 , which was equal to the contralateral side. According to the Flynn criteria, this result was excellent. In addition, the surgical scar result was cosmetically excellent.
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F6
According to Flynn criteria, the ultimate outcome was excellent (Fig. 6).