Modified lateral approach to the distal humerus for internal fixation.

Internal fixation of fractures of the most distal portion of the humeral shaft is problematic. A modified lateral approach was assessed to determine its role in the surgical management of these injuries. Posterior plating of the lateral column was performed in each case. Eight patients with eight fractures (seven acute, one nonunion) were treated. All fractures united. There were no complications. On the basis of these results, displaced fractures of the most distal portion of the humeral shaft can be managed successfully via a modified lateral approach to the distal humerus.