Master Tech Ortho Surgery Elbow CH1

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PART I Exposures

FIGURE 1B-4

OLECRANON OSTEOTOMY Indications Reduction and fixation, distal humeral, comminuted fractures (C3). Landmarks Tip of olecranon, medial epicondyle, ulnar nerve in cubital tunnel, nonarticular portion of olecranon. Position Supine, arm across the chest. Skin Incision Direct posterior from 6 to 8 cm proximal the tip of the olecranon, over subcutaneous border of the ulna; distal as required. Technique ●● Elevate skin flaps medially and laterally to the epicondyles. ●● Identify ulnar nerve and incise medial ulnohumeral capsule (Fig. 1B-5).

FIGURE 1B-5