Pulled elbow in an adult patient.

C a a 0. 0 a a) a C a a 5) a. followed and a drain had not been used; the wound settled, however, without surgical drainage. Discussion. In the percutaneous method, the incision is below the crest, through the muscle bulk of the glutei. In the open method it usually lies over the crest. The percutaneous incision is smaller, and less likely to damage the subcutaneous nerves passing over the crest into the thigh. The technique requires less dissection and less muscle stripping from the outer table of the iliac wing. For non-structural graft we now routinely use the percutaneous technique provided that not more than 10 ml of bone are required. We have found it safe, reliable and associated with decreased early and late morbidity.