chevron osteotomy

Distal Humerus Fractures

2 groups

- young patient with high velocity injury

- older patient with comminuted, osteoporotic fracture

In the second group fixation can be very difficult

Hinged Joint

- trochlea axis is centre of rotation

- 40^o anterior angulation in sagittal plane

Painful prominence of lateral eminence of 5th metatarsal head

Type I deformity

- prominent lateral condyle 5th metatarsal head

- lateral condylectomy

Type II deformity

- lateral bowing of 5th metatarsal

- chevron osteotomy