Das Ellenbogen-UCL-Einwegset von Arthrex beinhaltet ein spezielles FiberWire-Produkt (FiberLoop), mit dem die Transplantatenden einfach und effizient überwendlich vernäht werden können. Unser Sortiment umfasst weiterhin eine breite Palette an verschiedenen Fadengrößen und Nadeln.

Elbow

Product

Der Eingriff zur InternalBrace-Bandaugmentation mit SwiveLock-Ankern und FiberTape-Fäden stellt eine angemessene Alternative dar, bei der kein Zweiteingriff zur Materialentfernung erforderlich ist und die eine ansprechendere Lösung im Hinblick auf den Patientenkomfort und das kosmetische Gesamtergebnis bietet.
Die InternalBrace-Operationstechnik ist nur zur Augmentation der primären Naht / Rekonstruktion vorgesehen, bei der die Kontaktfläche zwischen Weichteil und Knochen während der Heilungsperiode vergrößert wird. Sie ist nicht als Ersatz für das native Band gedacht. Die InternalBrace-Technik ist für Eingriffe zur Fixierung von Weichteilgewebe am Knochen vorgesehen. Sie ist nicht für die Knochen-zu-Knochen-Fixierung zugelassen.

Shoulder

The UCL InternalBrace™ system is designed for repairing the medial ulnar collateral ligament following a complete or partial avulsion from the proximal or distal attachment without evidence of poor-quality tissue, which would otherwise require reconstruction. Completing the InternalBrace procedure requires two 3.5 mm PEEK SwiveLock® anchors loaded with collagen-coated FiberTape® suture and a #0 FiberWire® repair suture. The system also includes the necessary drill and taps to prepare the ulnar and humeral tunnels.&nbsp;
 
 
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.&nbsp;

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video

MUCL Repair With the InternalBrace™ System

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Elbow UCL Repair With the UCL InternalBrace™  System

Jeffrey R. Dugas, MD, (Birmingham, AL) discusses ulnar collateral ligament (UCL) repair for young overhead athletes who present with acute tears—from either the proximal or distal end of the ligament—not associated with attritional or degenerative disease. Dr. Dugas performs an InternalBrace™ ligament augmentation repair by forming a bone socket in the sublime tubercle with a special drill, guide, and tap, and then places a 3.5 mm PEEK SwiveLock® anchor loaded with collagen-coated FiberTape® suture and a #0 FiberWire® suture repair stitch. A socket with the drill and a larger tap is formed in the humeral epicondyle. The previously placed anchor and FiberTape suture span the repaired ligament and a second 3.5 mm PEEK SwiveLock anchor is placed after appropriate tensioning. In the appropriate patient, the InternalBrace ligament augmentation repair allows for a more aggressive rehab protocol and earlier return to competition as compared to a conventional Tommy John reconstruction.1
Reference
1. Walters BL, Cain EL, Emblom BA, Frantz JT, Dugas JR. Ulnar collateral ligament repair with InternalBrace augmentation: a novel UCL repair technique in the young adolescent. 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 Using the InternalBrace™ System

Jeffrey R. Dugas, MD (Birmingham, AL), demonstrates an InternalBrace™ ligament augmentation repair to the medial ulnar collateral ligament for acute tears not associated with attritional or degenerative disease.&nbsp;
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.&nbsp;

UCL Repair Using InternalBrace™ Ligament Augmentation Repair

Christopher S. Ahmad, MD (New York, NY), presents a case of medial elbow pain consistent with a partial ulnar collateral ligament (UCL) tear and describes using the UCL InternalBrace™ system for the repair.
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 With the InternalBrace™ System

Scott P. Steinmann, MD (Chattanooga, TN), discusses how patients with complex, acute post-traumatic elbow instability following dislocation may require treatment using an external fixator after open reduction and soft-tissue reconstruction. The InternalBrace™ ligament augmentation procedure with SwiveLock® anchors and FiberTape® suture is a reasonable alternative that may eliminate secondary hardware removal and provide a more attractive solution for patient comfort and overall cosmesis.&nbsp;
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.&nbsp;

Using InternalBrace™ Ligament Augmentation Procedure for Complex Elbow Dislocations

Das InternalBrace™-UCL-System

Child (D)

Das Ellenbogen-UCL-Einwegset für den Fadendurchzug beinhaltet zwei FiberLoop-Fäden der Stärke 2 für die Fadenarmierung der Transplantatenden in einer Whip-Stitch-Technik, gebogene Drähte für den Fadendurchzug durch den Ulnartunnel, einen Fräser zur Entfernung scharfer Kanten an den Knochenlagern und -kanälen, ein Micro SutureLasso und eine Drahtschlaufe für den Einzug der fadenarmierten Transplantatenden in die vorbereiteten Knochenlager und Bohrkanäle im Epikondylus humeri sowie ein ca. 15,24 cm langes Lineal zur Bestimmung der Transplantatlänge. Das Set unterstützt sämtliche Fixierungsstechniken einschließlich der Jobe-Technik, der Docking-Technik, der DANE-TJ-Technik sowie jeder Technik, bei der eine Fixierung mit Tenodesis-Schrauben oder Buttons zum Einsatz kommt.

Nahtsets für den Ellenbogen

Das InternalBrace™-UCL-System

UCL-Einwegset für den Fadendurchzug