Fig. 7.

Lateral paraolecranon approach. A) The lateral window involves the Boyd approach distally along the lateral margin of the ulna which is extended proximally as a triceps split. B) The medial and lateral collateral ligaments and the common flexor and extensor origins are sectioned from their insertions to allow for dislocation of the elbow. C) Supination of the forearm allows for visualization of the trochlear notch and radius for preparation. D) The distal humerus can be dislocated through the triceps split or medially for preparation. (Reproduced with permission from Studer A, Athwal GS, MacDermid JC, Faber KJ, King GJ. The lateral para-olecranon approach for total elbow arthroplasty. J Hand Surg Am. 2013 Nov; 38(11):2219–2226).