Open fractures with extensive tissue loss present unique clinical challenges. Exposed bone often results in periosteal damage, which is associated with a loss of blood and nutrient supply, and a higher susceptibility to infection. Common surgical interventions to provide rapid bone coverage include various types of flap reconstructions; however, these may not be universally optimal, depending on patient candidacy and institutional resources....

We present a case of a 21-year-old female who sustained a comminuted displaced fracture of the lateral epicondyle and capitellum of the left humerus following a fall. CT confirmed intra- articular extension. Open reduction and internal fixation (ORIF) with two Herbert screws was performed within 24 hours. She was discharged with instructions for early active finger movement but did not undergo formal physiotherapy. ...