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高强度缝合带增强修复尺侧副韧带（汤米·约翰手术）：一份带分步描述的改良技术说明

Ulnar Collateral Ligament (Tommy John) Repair With High-Strength Suture Tape Augmentation: A Modified Technical Note With a Step-by-Step Description.

作者信息

Waldron Patrick, Vallelanes Ethan, Williams Nicholas R, Guzman Alvarho J, Cantave Kyle, Chow Elisa, Cheng Samantha, Malige Ajith, Chen James L

机构信息

Advanced Orthopaedics and Sports Medicine, San Francisco, California, U.S.A.

出版信息

Arthrosc Tech. 2025 Feb 27;14(5):103365. doi: 10.1016/j.eats.2024.103365. eCollection 2025 May.

DOI:10.1016/j.eats.2024.103365
PMID:40547997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12177400/
Abstract

The ulnar collateral ligament (UCL) is the primary restraint to valgus stress at the elbow. It is commonly injured in overhead throwing athletes as a result of the repetitive valgus stresses placed on the elbow during throwing. New techniques continue to evolve to accommodate the increasing prevalence of UCL (Tommy John) surgery. After the introduction of the InternalBrace, UCL repair has re-emerged as a viable surgical option with proven biomechanical and clinical outcomes. We describe an effective and reproducible step-by-step UCL repair with InternalBrace technique using knotless suture anchors to be used in active individuals and overhead throwing athletes at all skill levels.

摘要

尺侧副韧带（UCL）是肘关节外翻应力的主要限制结构。在进行过顶投掷的运动员中，由于投掷过程中肘关节反复受到外翻应力，该韧带常受损伤。新技术不断发展，以适应尺侧副韧带（汤米·约翰）手术日益增加的发生率。在引入InternalBrace之后，尺侧副韧带修复作为一种可行的手术选择再次出现，其生物力学和临床效果已得到证实。我们描述了一种使用无结缝合锚钉的、有效且可重复的分步尺侧副韧带修复InternalBrace技术，该技术适用于所有技能水平的活跃个体和进行过顶投掷的运动员。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/fe25fe802185/gr16.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/735cd9075bac/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/3e28130cb3d4/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/35c46db4d03c/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/74dde27c1410/gr13.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/4c7a035f3a8b/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/fe25fe802185/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/94e0fdf1da8b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/5c5fd28bb2ce/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/2decf3cd9b3b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/ea2e53963539/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/3f0f9888444b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/07b899ac47f6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/33f590d3a46a/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/77bb3df8cf0c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/e387e286218e/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/735cd9075bac/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/3e28130cb3d4/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/35c46db4d03c/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/74dde27c1410/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/9c11d8d2cc0f/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/4c7a035f3a8b/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc7/12177400/fe25fe802185/gr16.jpg

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Arthrosc Tech. 2023 Dec 25;13(1):102830. doi: 10.1016/j.eats.2023.09.006. eCollection 2024 Jan.
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Ulnar Collateral Ligament Repair With Suture Tape Augmentation: Can You Overtighten?
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