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Latitude Elbow Prosthesis
Latitude Elbow Prosthesis Surgical Technique UCLT101
6. EXPOSURE
EXPOSURE
Triceps Management
Management of the triceps mechanism is at the surgeons
discretion.
Common procedures include splitting the triceps centrally,
elevating it from medial to lateral, or from lateral to medial.
The triceps attachment to the ulna is released by dividing
Sharpey’s fibers.
Alternative approaches include dividing the triceps tendon
proximal to the olecranon. The continuity of the triceps tendon
can be maintained when the distal humerus is bone deficient
using a triceps sparing approach.
Triceps splitting approach
The triceps tendon is split centrally ascending 8 cm proximal
from the tip of the olecranon.
The tendon is then reflected medially and laterally
off the olecranon by dividing Sharpey’s fibers.
The medial and lateral portions of the tendon are kept
in continuity with the flexor carpi ulnaris and anconeus
respectively. The humeral attachments of the medial
and lateral collateral ligaments and their overlying flexor
and extensor muscle origins are sharply divided off the medial
and lateral epicondyles to facilitate joint subluxation.
The ligament origins are marked with a colored suture
to facilitate subsequent reattachment.
(fig. 16e)
(fig. 16f)
(fig. 16g)
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