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.

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.

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UCL Repair Using the InternalBrace™ System

Todd Twiss, MD (Joplin, MO), demonstrates how to use the InternalBrace™ system for lateral ulnar collateral ligament repair of a terrible triad injury (TTI).
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.

Lateral UCL Repair With the InternalBrace™ Ligament Augmentation Procedure

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Elbow UCL Repair With the UCL InternalBrace™  System

Laura Timmerman, MD, (Walnut Creek, CA) demonstrates an elbow ulnar collateral ligament reconstruction in a baseball player who has a deficient ulnar collateral ligament (UCL). A single socket is created in the sublime tubercle to accept a doubled over graft fixed with a 4.75 mm forked tip PEEK SwiveLock®. The two remaining tails of the graft are tensioned in a single bone tunnel in the humeral epicondyle and fixed with a 3.5 mm PEEK PushLock® eliminating the need for intersecting bone tunnels.

Ulnar Collateral Ligament Reconstruction

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

UCL Humeral Socket Drill Guide, 5.0 mm x 15 mm

UCL Hülse für humerales Zielgerät 15 mm

UCL Humeral Tunnel Guide Sleeve, 15 mm Deep

Camisa de guía de túnel humeral LLI, 15 mm de profundidad

Bainha para canulada umeral UCL,15 mm de profundidade

UCL Humeral Tunnel Drill Bit, 4.5 mm

UCL Humeral Tunnel Drill Bit, 5.0 mm

UCL Humeral Socket Drill Guide, 4.5 mm x 15 mm

Humerale Bohrführung für UCL Rekonstruktion, 4.5 mm x 15 mm

UCL Humeral Socket Drill Guide, 4.5 mm x 15 mm

Guía de perforación de cavidad humeral LLI, Ø 4.5 mm x 15 mm

Guia de perfuração com encaixe umeral UCL, 4.5 mm x 15 mm

"Obturador de guia em ""V"" de intersecção"

Curette, #2, 7 inches long, Straight Tip

Kürette #2, 18 cm lang 45° gebogene Spitze

Cureta de calibre #2, 17.78 mm de longitud, punta en ángulo de 45°

Cureta, n.º 2, 17.8 cm de comprimento, ponta de 45°

Curette, #3-0, 7 inches long, 45° Tip

Kürette #3-0, 18 cm lang 45° gebogene Spitze

Cureta de calibre #3-0, 17.78 mm de longitud, punta en ángulo de 45°

Cureta, n.º 3-0, 17.8 cm de comprimento, ponta de 45°

Curette, #4-0, 7 inches long, 45° Tip

Kürette #4-0, 18 cm lang 45° gebogene Spitze

Cureta de calibre #4-0, 17.78 mm de longitud, punta en ángulo de 45°

Cureta, n.º 4-0, 17.8 cm de comprimento, ponta de 45°

Caja para reconstrucción del LLI del codo

UCL Repair

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Surgical Technique Videos (3)

UCL Repair Using the InternalBrace™ System

Lateral UCL Repair With the InternalBrace™ Ligament Augmentation Procedure

Ulnar Collateral Ligament Reconstruction

Surgical Technique Guides (1)

Elbow UCL Repair With the UCL InternalBrace™ System

UCL InternalBrace System (1)

AR-7715

UCL Suture Passing Disposables Kit (1)

AR-7715-4.5

UCL Instrument Set (1)

AR-7700S