Biomechanics of Reconstruction Constructs
Ulnar collateral ligament (UCL) injuries are common among competitive overhead-throwing athletes. Frank Jobe described the first reconstruction of the UCL in 1976, which consisted of a palmaris longus tendon woven through bone tunnels. In recent years, the advent of new technologies has spawned new procedures that use modern implants. Newer procedures have been developed using suture anchors and interference screws. These newer procedures have been aimed at increasing the strength of fixation and avoiding potential complications. To date, there is a paucity of in vivo research comparing these techniques. The purpose of this chapter is to review the biomechanical data available to support the use of the most common reconstruction techniques currently used.
KeywordsUlnar collateral ligament Jobe technique Docking technique Elbow biomechanics Interference screw Overhead-throwing athletes
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