Master Tech Ortho Surgery Elbow CH1

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PART I Exposures

FIGURE 1B-49

FIGURE 1B-48

Note: We prefer to displace the tendon somewhat medially at the time of reattachment after the Bryan-Morrey reflection and somewhat laterally after the modified Kocher release. ●● A locked suture is first placed in the tendon followed by a second locked suture placed more proximally in the midportion of the tendon. The suture passes through the triceps tendon opposite to its locked attachment site (Fig. 1B-49). ●● The suture then enters the opposite hole in the olecranon now being passed from proximal to distal (Fig. 1B-50). After the suture has emerged from the second hole in the olecranon, it is brought back over the top of the ulna through the soft tissue distal expansion of the extensor sleeve (Fig. 1B-51).

FIGURE 1B-50

FIGURE 1B-51