Methods to Facilitate Reduction of Medial Epicondyle Fractures in the Supine Position

Surgical treatment of medial epicondyle fractures aims for the restoration of the medial elbow osseous, muscular, and ligamentous anatomy, with the desired outcomes of obtaining a stable elbow with full range of motion and normal strength. Some surgeons have advocated for fixation in the prone position in order to relax the flexor pronator mass which tends to displace the fragment in the supine position. In this paper, we highlight methods that ease reduction without the increased time and anesthetic consideration needed to position the patient prone.