case_images: PMC5266169_01
case_images: Preoperative roentgenogram of the left upper extremity. Radiographs showed severe displacement of the distal humeral diaphyseal fracture.
case_images: medi-96-e5812-g001.jpg
case_images: PMC5266169_01_medi-96-e5812-g001.jpg
case_images: F1
case_images: The fracture was not reduced and was remarkably unstable (Fig. 1).
case_images: Preoperative (A) anteroposterior magnetic resonance image of the left upper extremity and (B) lateral magnetic resonance image of the left elbow. A vertical fracture line was seen extending into the lateral humeral condylar physis of the distal humerus.
case_images: medi-96-e5812-g002.jpg
case_images: PMC5266169_01_medi-96-e5812-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging showed a vertical fracture line extending into the lateral humeral condylar physis of the distal humerus (Fig. 2).
case_images: Open reduction procedure. (A and B) The displacement of the fracture was easily reduced by open reduction using an anterior mini-incision and thumb compression.
case_images: medi-96-e5812-g003.jpg
case_images: PMC5266169_01_medi-96-e5812-g003.jpg
case_images: F3
case_images: After removal of the brachial muscle, the displacement of the fracture was easily reduced and the alignment could be maintained by thumb compression (Fig. 3).
case_images: Early postoperative roentgenograms of the left elbow. (A and B) Percutaneous intramedullary fixation provided stability of the distal humeral diaphyseal fracture.
case_images: medi-96-e5812-g004.jpg
case_images: PMC5266169_01_medi-96-e5812-g004.jpg
case_images: F4
case_images: Percutaneous intramedullary fixation was performed using 1.5-mm Kirschner wires, inserted from the humeral distal metaphysis (Fig. 4).
case_images: Postoperative roentgenograms of the left elbow at 32 months postoperatively. (A and B) Radiographs showed adequate healing without any deformity of the elbow.
case_images: medi-96-e5812-g005.jpg
case_images: PMC5266169_01_medi-96-e5812-g005.jpg
case_images: F5
case_images: At the final follow-up, 32 months postoperatively, plain radiographs showed adequate healing without any deformity of the elbow (Fig. 5).
case_images: Postoperative photographs of left elbow at 32 months postoperatively. The range of motion was 0  to 135 , which was equal to the contralateral side. According to the Flynn criteria, this result was excellent. In addition, the surgical scar result was cosmetically excellent.
case_images: medi-96-e5812-g006.jpg
case_images: PMC5266169_01_medi-96-e5812-g006.jpg
case_images: F6
case_images: According to Flynn criteria, the ultimate outcome was excellent (Fig. 6).