Elbow contracture is a debilitating complication of trauma that can arise from intra-articular and extraarticular sources. When nonoperative treatment fails, operative intervention is indicated. Evaluation begins with thorough preoperative planning. The column approach allows excellent exposure and treatment of anterior and posterior capsular and osseous sources of contracture. For posterior medial capsular contraction, a medial approach is often indicated. This allows access for decompression and transposition of the ulnar nerve. Postoperative care involves early clinic follow up with continuous passive motion (CPM) and/or splinting.
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