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A posterior approach to the elbow joint
1Orthopaedic Department, Northern General Hospital, Sheffield, England.
The Journal of Bone and Joint Surgery. British Volume
|January 1, 2000
Summary
A new posterior elbow surgical approach protects the ulnar nerve and enhances distal humerus exposure. This technique improves elbow stability and facilitates early rehabilitation, especially for unlinked total elbow arthroplasty.
Area of Science:
- Orthopedic Surgery
- Surgical Techniques
- Anatomy
Background:
- Posterior elbow approaches are crucial for distal humerus procedures.
- Existing methods may pose risks to the ulnar nerve or offer limited exposure.
- Triceps management is key to surgical access and joint stability.
Purpose of the Study:
- To present a novel posterior elbow surgical approach.
- To combine triceps splitting and reflecting advantages for optimal outcomes.
- To highlight its utility in unlinked total elbow arthroplasty.
Main Methods:
- A posterior surgical approach to the elbow was developed.
- The technique involves a method of managing the triceps muscle.
- Protection of the ulnar nerve and its vascular supply was prioritized.
Main Results:
- The approach provides excellent exposure of the distal humerus.
- It offers robust protection to the ulnar nerve and its blood supply.
- Triceps tensioning during closure enhances elbow joint stability.
Conclusions:
- This posterior elbow approach offers significant advantages over traditional methods.
- It is particularly beneficial for unlinked total elbow arthroplasty.
- The technique facilitates early patient rehabilitation and improved joint function.