Finished Product

AR-7730

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)

TheDANE TJ (David Altcheck, Neal ElAttrache, Tommy John) Technique is an elbow UCL reconstructiontechnique that combines proximal graft docking with a single distalinterference 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 andfor final humerus fixation and an Interference Screw for ulna fixation.

DANE TJ Technique

The “DockingTechnique” was first described by Dr. David Altchek. This techniquereconstructs the UCL by looping a single continuous graft loop throughconverging Ulna bone tunnels and “docking” the sutured graft ends through twohumeral tunnels, after which the two ends of the UCL graft are tied withnon-absorbable suture over a bone bridge. The Dockingtechnique can be performed using the Arthrex ElbowUCL Reconstruction Instrument Set. FiberWireand FiberLoop may be used to stitch the graft ends and for final fixation overthe humerus bone bridge.

Docking Technique

Product

The UCL Instrument Set makes precise sockets and tunnels alongwith easy suture/graft passage andincludes all the instrumentation needed to perform elbow UCL reconstructions.It will accommodate all techniques including the ModifiedJobe technique, Docking technique,DANE TJ technique, as well as anytechnique using Tenodesis Screws or buttonfixation with sockets. This set allows the precise placementof bone tunnels and sockets in the ulna and humeral epicondyle using guidedinstruments, drills and/or reamers. A recommended disposables kit providesnovel instruments to easily pass sutures through the prepared bone tunnels andsockets, 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 ModifiedJobe 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 toitself and surrounding soft tissue. Repair of the original UCL is added forgreater stabilization. The Modified Jobe canbe performed using the Arthrex Elbow UCLReconstruction Instrument Set.FiberWire and FiberLoop may be used to stitch the graft ends andfor final fixation.

UCL Graft Sizing Block

AR-7730

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AR-7730 is a Set Item Of (1)

AR-7700S

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