Osborne and Cotterill surgery

Recurrent elbow dislocation is rare, the main reasons are: 1 ulnar olecranon deformity, mostly due to ulnar coronoid process fracture, a small number of ulnar olecranon dysplasia. The 2-foot, temporal collateral ligament is unstable and the elbow joint is slack. Some scholars believe that posterolateral instability is a common cause. Surgery treatment of the former mainly used bone block. The latter performed ligament reconstruction. Treatment of diseases: dislocation of the elbow joint Indication Osborne and Cotterill surgery are available for: Recurrent posterior dislocation of the elbow is caused by ligament relaxation. Preoperative preparation 1. Brachial plexus anesthesia, local anesthesia can be used for the humerus. 2. In the supine position, the upper arm is tied to the balloon hemostatic bag. Surgical procedure Incision Take the lateral incision of the elbow joint, starting from the upper iliac crest 5 cm, bypassing the lateral malleolus to the distal end of the annular ligament. 2. Exposing the joint Freely distract the flap, find the phrenic nerve in the diaphragm between the diaphragm and the diaphragm, and retract after dissociation. Retract the diaphragm, cut the sac of the switch, and remove the broken bone on the posterior aspect of the joint. The anterior aspect of the lateral humerus and the lateral side of the humerus were roughened, and two holes were drilled in the anteroposterior direction of the lateral cortical bone at the distal end of the humerus. The collateral ligament and the posterior joint capsule were tightly sutured to the tibia through the hole. 3. Stitching The joint capsule is tightly sutured and the incision is sutured layer by layer. complication Elbow joint dysfunction.