Secondary Surgery, Elbow
Steindler Operation, Pectoralis Major Transfer, Latissimus Dorsi Transfer
Less frequently a lack of active elbow flexion can happen. An important number of surgical operations have been described to improve secondarily the elbow flexion.
The rationale of these operations is to utilize good functioning muscle, changing their original bony insertion and to direct them to substitute the biceps muscle.
They can vary depending on availability of good motors: pectoralis major, latissimus dorsi, wrist flexors, triceps etc.
The Steindler Operation
Pectoralis Major Transfer
Latissimus Dorsi Transfer