. Manual of operative surgery. of humerus. [Konig.). Fig. 1127.—Fracture tuberosity of humerus. {Konig.) monly require intervention are separation of the capitellum humeri and fractureof the internal epicondyle when there is much separation. The opinions ofsurgeons vary much as to operative interference. Cheyne and Burghard recom-mend operation almost as routine in T-fractures. Of course when there isgrave injury to the nerves (usually the musculo-spiral and median) or to thevessels about the elbow and this is not relieved by reposition of the fragmentsof bone, operation is imperative. 936 SPE
. Manual of operative surgery. of humerus. [Konig.). Fig. 1127.—Fracture tuberosity of humerus. {Konig.) monly require intervention are separation of the capitellum humeri and fractureof the internal epicondyle when there is much separation. The opinions ofsurgeons vary much as to operative interference. Cheyne and Burghard recom-mend operation almost as routine in T-fractures. Of course when there isgrave injury to the nerves (usually the musculo-spiral and median) or to thevessels about the elbow and this is not relieved by reposition of the fragmentsof bone, operation is imperative. 936 SPECIAL FRACTURES When operating, if it is possible to avoid opening the elbow-joint, do 1128 shows the limits of the joint. The time of choice for operationis during the second week after injury. After operation passive movementsought to be begun in about fourteen days or even less. Methods of Operating.—(A) Fracture of one condyle. Step I.—Reflect a skin flap, convexity forwards, from over the fracturedcondyle (Cheyne and Burghard).
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