Finished Product

AR-7720-4.0

Human

Elbow

Procedure

Young overhead athletes who sustain an injury to their medial ulnar collateral ligament (UCL) complex, isolated to the proximal or distal end of the ligament and without chronic attritional damage, may benefit from a repair rather than a reconstruction procedure.1
Reference
1. Walters BL, Cain EL, Emblom BA, Frantz JT, Dugas JR. Ulnar collateral ligament repair with internal brace augmentation. Orthop J Sports Med. 2016;4(3 suppl3):2325967116S00071. doi:10.1177/2325967116S00071
The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.

UCL Repair

UCL InternalBrace System Includes Two 3.5 mm PEEK SwiveLock Anchors, Collagen-Coated FiberTape suture, 0 FiberWire Suture, Free Tapered Needle, 2.7 mm Drill, Drill Guide, 3.8 mm [Gray] and 4.2 mm [Red] Tap

UCL Suture Passing Disposables Kit (Includes: #2 TigerLoop, #2 FiberLoop, Curved Micro SutureLasso w/Wire Loop, 4.5 mm Wire Skid, Chamfer Tool, two Suture Passing Wires, SuturePasser, blunt curved needle with Nitinol Loop and 6 inch ruler)

Kit de instrumental desechable para pasar suturas LLI

Kit de descartáveis para passagem de sutura UCL

Child (D)

The DANE TJ (David Altcheck, Neal ElAttrache, Tommy John) Technique is an elbow UCL reconstruction technique that combines proximal graft docking with a single distal interference screw fixation. The DANE TJ Technique can be performed using the Arthrex Elbow UCL Reconstruction Instrument Set. FiberWire and FiberLoop may be used to stitch the graft ends and for final humerus fixation and an Interference Screw for ulna fixation.

DANE TJ Technique

The “Docking Technique” was first described by Dr. David Altchek. This technique reconstructs the UCL by looping a single continuous graft loop through converging Ulna bone tunnels and “docking” the sutured graft ends through two humeral tunnels, after which the two ends of the UCL graft are tied with non-absorbable suture over a bone bridge. The Docking technique can be performed using the Arthrex ElbowUCL Reconstruction Instrument Set. FiberWire and FiberLoop may be used to stitch the graft ends and for final fixation over the humerus bone bridge.

Docking Technique

Product

The UCL Instrument Set makes precise sockets and tunnels along with easy suture/graft passage and includes all the instrumentation needed to perform elbow UCL reconstructions. It will accommodate all techniques including the Modified Jobe technique, Docking technique, DANE TJ technique, as well as any technique using Tenodesis Screws or button fixation with sockets. 

 
This set allows the precise placement of bone tunnels and sockets in the ulna and humeral epicondyle using guided instruments, drills and/or reamers. A recommended disposables kit provides novel instruments to easily pass sutures through the prepared bone tunnels and sockets, making graft passage a quick and easy part of the case.

Elbow UCL Reconstruction Instrument Set

Recurrent instability of the elbow typically includes posterolateral rotary subluxation with disruption of the lateral collateral ligament complex. A tendon graft or FiberTape® alone can be used to reconstruct the elbow. Identify the LUCL insertion site on the supinator crest and drill a single 5 mm bone socket at the level of the radial head. The isometric origin on the humerus is identified and a single 5 mm bone socket is made. The graft can be prepared on both ends using #2 FiberLoop® creating a running stitch while ensuring its circumference is 5 mm or less. Capture the one end of the graft with the forked end of the 4.75 mm forked SwiveLock®, dunk it into the ulnar socket and advance the implant in the standard fashion making sure the graft is adjacent to the humerus. Hold the graft taut over the socket in the humerus and insert the forked SwiveLock. 

 
For FiberTape reconstruction a 4.75 mm SwiveLock with eyelet is loaded with a FiberTape leaving equal tails and inserted in the supinator crest socket. Both tails of the FiberTape from the first anchor are placed in the eyelet of a second SwiveLock. The FiberTape is tensioned and the anchor is placed in the humeral socket in the isometric location.

FiberTape® Augmentation

The Modified Jobe Technique for UCL Reconstruction/Repair uses a series of tunnels in the ulna and humerus to pass the graft in a figure-8 fashion and secure it to itself and surrounding soft tissue. Repair of the original UCL is added for greater stabilization. The Modified Jobe can be performed using the Arthrex Elbow UCLReconstruction Instrument Set.FiberWire and FiberLoop may be used to stitch the graft ends and for final fixation.

Humeral Drill, 4.0 mm

AR-7720-4.0

AR-7720-4.0 is a Set Item Of (1)

AR-7700S

Related Pages

Elbow

UCL Repair

Procedure

Elbow

DANE TJ Technique

Procedure

Elbow

Docking Technique

Procedure

Elbow

Elbow UCL Reconstruction Instrument Set

Product

Elbow

FiberTape^® Augmentation

Procedure

Elbow

Modified Jobe Technique

Procedure