Restoration of elbow flexion by a new operative technique.

In order to treat some of the awkward and unusual problems and to avoid some of the complications associated with paralytic elbows, the distal part of the flexor carpi ulnaris is detached and the muscle is freed up to its neurovascular bundle. The tendon is turned upon itself, its distal end is passed through a subcutaneous tunnel to the upper arm, and fixed to the humerus by staples. A posterior splint is applied for a period of 6 weeks followed by supervised graduated active elbow flexion exercises.