Inverted Mattress Knotless Repair of Medial Ulnar Collateral Ligament Avulsion Injury Using Flat Braided Suture Internal Brace

• DOI: 10.1016/j.eats.2024.103124
• Publication Date: 2024-07-20T17:33:28Z
• Authors: Brandon Klein; Lucas E. Bartlett; Christopher Brancato; James M. Paci
• Keywords: Medial collateral ligament

Direct repair of ulnar collateral ligament (UCL) injuries with suture augmentation has been successful in properly selected patients lacking chronic attritional wear the medial elbow. Described is a Speed-Fix technique for direct UCL using SutureTape, InternalBrace augmentation. The uses an inverted mattress knotless SwiveLock anchor and FiberTape suture, which allows theoretical compression at site. However, proposed 0.9-mm SutureTape to decrease tissue pullout provide time-zero stability. For nerve pathology, pronator mass elevation was used exposure, whereas muscle-splitting approach those without pathology. With this technique, all were able return sport do so accelerated rate failures.