-patient lying in left or right lateral position
-betadine is wipe all over the upper limb
-through posterior approach
-longitudnal cut over the arm posteriorly
-cut through skin and subcutaneous tissue
-ms splitting of triceps
-explore radial nerve in a groove between long and lateral head of triceps
-drill the site for the screw entrance
-the to make the hole serrated, do rapping
-the slide the plate under radial nerve(careful not to injured the nerve)
fracture SUPRA CONDYLAR FEMUR
-patient lying supine
-through lateral approach
-logitudnal incision at lateral aspect of the thigh
-cut skin and subcutaneous tissue
-iliotibial bundle or tract is apparent and cut through it
-ms splittig or retract the vastus lateralis
-use interlocking nail to fix the fracture ( DCS - dynamic condylar screw )
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