Fig. 3From: Bi-columnar locking plate fixation through a combined medial and lateral approach for the treatment of low transcondylar fractures of the distal humerus in the elderlya We carefully approached at approximately 10 cm proximal to the lateral epicondyle because the radial nerve pierced the lateral intermuscular septum. Distally, dissection through the interval between the triceps muscle and the origins of the extensor carpi radialis longus and the brachioradialis muscle exposed the lateral border of the humerus. The origin of the brachioradialis was partially released, and the anterior articular surface of the capitulum was exposed. The lateral column was also reduced and temporally fixed using 1.6 mm K-wires. b A long locking compression plate was used on the lateral columnBack to article page