Ulnar Collateral Ligament Reconstruction of the Elbow With Double Suspensory Fixation

Raffy Mirzayan; Kyle Schoell; Daniel C Acevedo; Anshuman Singh

doi:10.1016/j.eats.2020.10.008

Ulnar Collateral Ligament Reconstruction of the Elbow With Double Suspensory Fixation

Arthrosc Tech. 2021 Jan 16;10(2):e303-e309. doi: 10.1016/j.eats.2020.10.008. eCollection 2021 Feb.

Authors

Raffy Mirzayan¹, Kyle Schoell², Daniel C Acevedo³, Anshuman Singh⁴

Affiliations

¹ Department of Orthopaedic Surgery, Kaiser Permanente Southern California, Baldwin Park, California, U.S.A.
² Department of Orthopaedic Surgery, University of Southern California Keck School of Medicine, Los Angeles, California, U.S.A.
³ Department of Orthopaedic Surgery, Kaiser Permanente Southern California, Panorama City, California, U.S.A.
⁴ Department of Orthopaedic Surgery, Kaiser Permanente Southern California, San Diego, California, U.S.A.

Abstract

Ulnar collateral ligament reconstruction of the elbow has evolved substantially since its introduction in 1974. Numerous variations of the surgery have been introduced, including modifications in tunnel creation, graft tensioning, and fixation. These changes have aimed to improve overall quality of the reconstruction; however, even the most commonly used techniques still present many challenges. We describe a technique for ulnar collateral ligament (UCL) reconstruction using bisuspensory button fixation and a single tunnel on both the ulnar and humeral sides. This technique avoids many of the most common complications and methods of failure of UCL reconstruction, provides immediate strong graft fixation, and offers the surgeon a technically less demanding procedure.