Triceps-reflecting anconeus pedicle approach. A: Modified Kocher lateral approach is combined with medial triceps-reflecting approach. B: Access to distal humerus is similar to that provided by olecranon osteotomy. (From Sanchez-Sotelo J, Torchia ME, O'Driscoll SW: Principle-based internal fixation of distal humerus fractures, Tech Hand Upper Extremity Surg 5:179, 2001).
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