. Manual of operative surgery. Fig. 1376.—Arthroplasty,authors method. ARTHROPLASTY ELBOW III9 4. Resect the olecranon at its base. Fashion the bone as shown in and 1379. Resect that portion of the head of the radius which projectsabove the sawn surface of the ulna. If anchylosis exists between the radiusand ulna separate these bones with a fine chisel. 5. Remove the elastic constrictor. Attend to hemostasis with usual care. 6. Interposition of Muscle.—(a) Flex the forearm acutely. Divide theanterior articular capsule transversely at its ulnar insertion; continue thisincision into th


. Manual of operative surgery. Fig. 1376.—Arthroplasty,authors method. ARTHROPLASTY ELBOW III9 4. Resect the olecranon at its base. Fashion the bone as shown in and 1379. Resect that portion of the head of the radius which projectsabove the sawn surface of the ulna. If anchylosis exists between the radiusand ulna separate these bones with a fine chisel. 5. Remove the elastic constrictor. Attend to hemostasis with usual care. 6. Interposition of Muscle.—(a) Flex the forearm acutely. Divide theanterior articular capsule transversely at its ulnar insertion; continue thisincision into the brachialis anticus, so as to form the muscular flap (Fig. 1379)(Quenu). With the flap cover the sawn surface of the humerus. The rest ofthe operation is as in Method A. (b) Berger obtains the muscular flap from the anconeus. Figure 1380sufficiently explains the


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