By M. F. C. Bourdillon, Meyer Fortes (editors)
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The ulnar nerve has been translocated anteriorly to subcutaneous tissue. C: The extensor mechanism is being reflected laterally, and the anconeus is being subperiosteally released from the ulna, allowing exposure of the radial head. The junction of the ulna, periosteum, and fascia with the insertion site of Sharpey fibers is the most tenuous portion of the reflected mechanism. The proximal olecranon is removed for joint exposure. D: The shoulder is externally rotated and the forearm is hyperflexed.
16. Kamineni S, O'Driscoll SW, Urban M, et al: Intrinsic constraint of unlinked total elbow replacements—the ulnotrochlear joint. J Bone Joint Surg 87A(9):2019-2027, 2005. 17. Kudo H, Iwano K, Watanabe S: Total replacement of the rheumatoid elbow with a hingeless prosthesis. J Bone Joint Surg 62A:277, 1980. 18. MacAusland WR: Replacement of the distal end of the humerus with a prosthesis: Report of four cases. West J Surg 65:557, 1954. 19. Mellen RH, Phalen GS: Arthroplasty of the elbow by replacement of the distal end of the humerus with an acrylic prosthesis.
J Bone Joint Surg 80B(2):240-242, 1998. 26. Wolfe SW, Ranawat CS: The osteo-anconeus flap: An approach for total elbow arthroplasty. J Bone Joint Surg 72A:684, 1990. 27. Yamaguchi K, Sweet FA, Bindra R, et al: The extraosseous and intraosseous arterial anatomy of the adult elbow. J Bone Joint Surg 79A:1653-1662, 1997. 33 Chapter 3 Relevant Biomechanics Kai-Nan An Bernard F. Morrey As with any joint reconstructive procedure, a clear and detailed understanding of the relevant biomechanics of the joint is essential.