Master Tech Ortho Surgery Elbow CH1

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1  Exposures of the Upper Extremity: Humerus, Elbow, Forearm

Medial collateral ligament

Lateral collateral ligament

Ulnar nerve

B

FIGURE 1B-45

●● Drill holes about 3 cm in length are placed in a cruciate fashion in the olecranon from proximal to distal (Fig. 1B-46). ●● A third transverse hole is drilled through the olecranon to secure a second stabilizing suture (Fig. 1B-47A and B). ●● The margin of the triceps is first grasped with an Allis clamp and brought over the olecranon. ●● ANo. 5 nonabsorbable suture is introducedwith a straight needle fromdistal lateral to proximal medial. ●● The suture is first brought through the tip of the olecranon and passes through the triceps tissue at its anatomic attachment site with the elbow in 90 degrees (Fig. 1B-48).

FIGURE 1B-46 Cruciate drill holes are placed in the proximal ulna.

FIGURE 1B-47