A surgical process for affixing an elbow implant into the ulna has the steps of separating the olecranon process from the ulna so as to expose an end of an intermedullary canal of the ulna, inserting a stem of the elbow implanted into the intermedullary canal such that an end of the stem extends outwardly of the end of the ulna, and affixing the olecranon process onto the exposed end of the ulna. A hole is drilled through the olecranon process such that the hole is axially aligned with the intermedullary canal of the ulna. This hole is drilled prior to the step of separating.
