false
OasisLMS
Catalog
AANA Elbow Arthroscopy - August 2024
UCL Repair and Augmentation with Collagen-Coated F ...
UCL Repair and Augmentation with Collagen-Coated Fiber Tape (Internal Brace) in Overhead Throwing Athletes
Back to course
[Please upgrade your browser to play this video content]
Video Transcription
Video Summary
Jeff Dugas discusses UCL repair with internal brace, an alternative to traditional UCL reconstruction for athletes with minimal injuries and good tissue quality. Historically, UCL repair results were poor compared to reconstruction, but recent advances including strong anchors and sutures have improved outcomes. The internal brace technique, developed with Arthrex, uses fiber tape between anchors at the sublime tubercle and medial epicondyle to support the native ligament, showing less gap formation and excellent biomechanical properties in cadaver studies. Dugas presents the surgical approach, emphasizing accurate anchor placement and tension adjustment to avoid over-constraint. Clinical results from over 130 cases show about 92% return to play within six to seven months, with high success in partial tears and distal avulsions. Revisions after repair also show improved outcomes compared to traditional revision reconstructions. Overall, UCL repair with internal brace offers a less invasive, efficient option with comparable results to reconstruction for select athletes, including high school and collegiate levels across various sports.
Keywords
UCL repair
internal brace
athlete injuries
surgical technique
return to play
×
Please select your language
1
English