Fig. 2

Surgical exposure and fixation of the same patient as in Fig. 1. A A type IIIB fracture is exposed by the extensive lateral approach. The epicondylar fragment with the lateral ulnar collateral ligament is reflected distally to enhance exposure. B Reconstruction of the lateral column is performed with a 2.0 mm metacarpal locking plate. A tricortical iliac crest bone autograft is used to bridge the bone defect. C The lateral ulnar collateral ligament is repaired to its origin using a figure-of-eight tension band wire technique. D, E Intraoperative radiological outcome. F, G X-ray plain film at 18 months after surgery. H–K Mild limitation of elbow flexion and pronation at 18 months of follow-up; the Mayo Elbow Performance Index is 90 points