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Ulnar Collateral Ligament Repair Using InternalBrace™ Ligament Augmentation


Jeffrey R. Dugas, MD, (Birmingham, AL) discusses his indication for repair of the ulnar collateral ligament in 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. He performs an InternalBrace™ ligament augmentation repair by forming a bone socket with a special drill, guide and tap in the sublime tubercle, 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 construct allows for a more aggressive rehab protocol and earlier return to competition as compared to a conventional Tommy John reconstruction.1


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.