Surgical Approaches to the Elbow


In this article, we describe and demonstrate several surgical approaches for treatment of complex injuries about the elbow. Medial approaches to the elbow discussed in this article include the extensile medial (Hotchkiss) approach and the medial coronoid approach. Lateral approaches include the posterolateral (Kocher), anterolateral (Kaplan), and lateral column approaches. Of the posterior approaches to the elbow (olecranon osteotomy, triceps-reflecting, triceps-splitting), we describe the olecranon osteotomy approach, which has been shown to provide the best overall exposure of the articular surface of the distal humerus.

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