Reconstruction of Lateral and Medial Elbow Ligaments for Chronic Instability Using a Single Graft With Hybrid Fixation: A New Technique of Reconstruction

摘要

Chronic elbow instability remains one of the most problematic sequelae of elbow trauma. The goal of managing complex elbow instability is to regain a concentric and stable reduction of the elbow that allows for a functional range of painless motion. Achievement of this goal may require reconstruction of both the lateral and medial collateral ligamentous complexes. We describe a case report, and a novel technique of lateral and ulnar collateral ligament reconstruction using a single graft that allows for anatomic reconstruction of both the lateral collateral ligament and ulnar collateral ligament origins in the correct location and orientation. The potential benefits include shorter surgical time, better isometric placement of the graft, reduced risk of tunnel blowout, and creation of a biomechani-cally stiffer construct.