Excerpt from The Boston Medical and Surgical Journal, Vol. 96: January-June, 1877

This collection of cases, comprising all, fatal as well as successful, which have occurred in the hospital service of Dr. R. M. Hodges, dur ing a period of ten years, is reported for the purpose of showing the ultimate and excellent results of excision of the elbow when recovery takes place, and the advantages of a single straight incision in its performance. This method, largely avoiding the cross-cutting of any tissues, allows the connection of the triceps-extensor tendon, with the investing aponeurosis of the arm and fore-arm, to be preserved almost intact. An attachment for the muscle is thus retained which diminishes, to a certain extent, the loss of power following its unavoid able separation from the olecranon. 1 Transverse incision of the integ uments, even though the above mentioned connection is maintained, is in itself prejudicial to the subsequent motions of the limb, if the ound does not unite by first intention, but cicatrizes by granulation, as it almost invariably does.

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