Elbow Ulnar Collateral Ligament Reconstruction Using a 4-Strand Docking Plus Technique
نویسندگان
چکیده
The "Docking Plus" technique for elbow ulnar collateral ligament (UCL) surgery is described in the following text and video. Depite the general success of UCL surgery, significant rates of retear and failure of return to competition persist. Hypothesized reasons for UCL surgery failure include insufficient graft strength (midsubstance tears), insufficient graft tensioning (functional UCL insufficiency, valgus extension overload), and insufficient healing of graft to bone (proximal avulsions). This technique is meant to incorporate the best aspects of the previously described techniques for UCL reconstruction to create a larger, stronger, better-tensioned graft with a larger healing surface area to bone, a lower retear rate, and a lower risk of complications. The Docking Plus technique has been used since 2012.
منابع مشابه
Novel technique for ulnar collateral ligament reconstruction of the elbow.
Ulnar collateral ligament (UCL) reconstruction of the elbow has been shown to restore function in overhead athletes with valgus instability. Since the initial description of using bone tunnels for reconstruction, many modifications to the surgical technique have been introduced, including the modified Jobe technique, the docking technique, fixation with interference screws, and button fixation....
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INTRODUCTION In the functional range of elbow flexion (approximately 20 to 120) the anterior bundle of the Ulnar Collateral Ligament (UCL) has been shown to function as the primary stabilizer against valgus stresses [1,2]. Injuries to this ligament are common among throwing athletes. Surgical reconstruction of the UCL is frequently performed using the Docking technique [3] and has achieved succ...
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