Repair of the acutely unstable elbow: use of tensionable anchors

Acute ruptures of the medial or lateral collateral ligaments of the elbow associated with elbow dislocations have traditionally been repaired back to their respective epicondyles using suture anchors or transosseous sutures. Tensioning of those ligaments using conventional techniques had been diffic...

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Bibliographic Details
Published inTechniques in hand & upper extremity surgery Vol. 16; no. 4; p. 225
Main Authors Lee, Yu C, Eng, Kevin, Keogh, Angus, McLean, James M, Bain, Gregory I
Format Journal Article
LanguageEnglish
Published United States 01.12.2012
Subjects
Adult
Aged
Collateral Ligaments - surgery
Elbow - injuries
Elbow Joint - injuries
Female
Fractures, Bone - surgery
Humans
Joint Instability - surgery
Medial Collateral Ligament, Knee - surgery
Rupture
Suture Anchors
Suture Techniques
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Summary:Acute ruptures of the medial or lateral collateral ligaments of the elbow associated with elbow dislocations have traditionally been repaired back to their respective epicondyles using suture anchors or transosseous sutures. Tensioning of those ligaments using conventional techniques had been difficult because of the need to maintain tension while tying and securing sequential knots. Tensionable anchors are a new generation of anchors that have been used for rotator cuff repair, but can be employed for the repair of collateral ligaments and capsular tears. It allows fine control and sequential tensioning of the ligament repair, and on-table assessment of stability before locking the anchor. We present a modified surgical technique for the repair of collateral ligaments repair using tensionable anchors in acute elbow dislocations or fracture dislocations.
ISSN:1531-6572
DOI:10.1097/BTH.0b013e31826cef1c