Surgical excision is contraindicated in:
Olecranon process
Patella
Head of radius
Lateral condyle humerus
Lateral condyle of humerus is never excised because it forms the physeal region. Surgical excision 1. Done in comminuted fracture patella, olecranon and head radius (outer 1/3rd ). 2. Head and neck of femur are excised and replaced by prosthesis in fracture neck femur > 65 years of age. Excision is contraindicated in growth plate injury, e.g. Lateral condyle fracture.
Fracture Management