Fig. 2

a The medial approach was carried out through an incision measuring approximately 8 cm, starting at one finger breadth distally from the tip of the medial epicondyle and proceeding proximally along the medial supracondylar ridge of the humerus toward the axillary line. The elbow was subsequently flexed to approximately 80°; additionally, the biceps and brachialis muscles were retracted anteriorly, and the fracture site was subsequently exposed. b The medial column was first reduced, following which one or two 1.6 mm K-wires were inserted for provisional fixation. c A short locking compression plate on the medial column