METHOD FOR CARRYING OUT SURGICAL ACCESS ELBOW JOINT Russian patent published in 2003 - IPC

FIELD: medicine. SUBSTANCE: method involves making zigzag incision along posterior surface of the elbow articulation. The incision begins above the base of ulnar process of the ulna and then directed towards apex of medial epicondylus of the humerus, above the medial epicondylus of the humerus. The incision is directed at an angle of 80-90 deg along the posterior arm surface towards its postero-exterior surface where a turn to 80-90 deg is made and the incision is continued to postero- interior surface of the arm. Triangular cutanosubcutaneous flaps are separated and longitudinally cut strictly along the middle line 1cm far from the top of the ulnar process of the ulna. The cut continued from distal triceps aponeurosis angle in two directions medially and laterally from the ulnar process at an angle that does not exceed 80_90 deg. Both cuts are directed towards humerus condyle bases. The musculus triceps brachii is laminated longitudinally along muscle fibers to humeral periosteum. Elbow joint capsule is cut with scalpel from superior ulnar fossa edge to its middle part and then, scalpel blade is introduced into articulation cavity placing it with its cutting edge turned towards the capsule. The elbow joint capsule is cut in medial and lateral direction in parallel to ulnar process edges. EFFECT: enhanced effectiveness of treatment; improved blood supply to proximal part of ulna; prevented congruency disorders in humeroradial joint. 3 dwg