Desert Hand Associates

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The ability to bend and straighten the elbow adds greatly to a person's independence, so this is often the first surgery to be performed. In most cases, a portion of the deltoid muscle in the shoulder is used to provide elbow extension. The back (posterior) portion of the deltoid is brought down toward the elbow. Because the deltoid portion is not long enough to reach the attachment point in the lower arm, a graft is taken from an upper leg muscle (fascia lata) to provide the necessary length. In some cases, the biceps muscle in the upper arm is used instead of the deltoid muscle.

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