Wilson ES, Buckwalter JAV, Henning G, et al. - A retrospective comparative cohort study was conducted to ascertain whether inclusion of an olecranon osteotomy to the posterior paratricipital approach for operative fixation of distal humerus fractures significantly affects surgical complication rates. Between 2007 and 2017, three hundred four patients had undergone open reduction internal fixation of a distal humerus fracture. Using a posterior paratricipital approach with or without olecranon osteotomy, open reduction internal fixation of distal humerus fractures was conducted. For fixation of distal humerus fractures, addition of an olecranon osteotomy with the paratricipital approach does not result in higher rates of ulnar neuropathy, fracture site nonunion, or surgical site infection.