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A D V E R T I S E M E N T
A D V E R T I S E M E N T
A large clamp is passed through the tendon tract and between the radius and ulna at the radial tuberosity. A counter incision is made over the clamp tip on the dorsum of the forearm and the ends of the Bunnell sutures are passed through. The tourniquet is released, hemostasis is achieved and the volar incision is closed.
A D V E R T I S E M E N T
The tourniquet is reinflated and the forearm is rotated into full pronation by a dedicated assistant, moving the posterior interosseous nerve out of harm's way. The radial tuberosity is exposed in the interval between the anconeus and extensor carpi ulnaris. A trough is excavated in the radial tuberosity and three drill holes are made through the outer lip. The ends of the Bunnell sutures are drawn through the holes using a bent wire suture as a threader.
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A D V E R T I S E M E N T
The adjacent Bunnell sutures are tied between the drill holes, drawing the end of the distal biceps tendon into the trough. The tourniquet is released, hemostasis is achieved and the dorsal incision is closed. The arm is splinted while pronation and 90 degree flexion are maintained.
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This page was last modified on 2/15/1999.
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