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Ulnar Collateral Ligament Reconstruction Through a Mini-Invasive Approach and Suture Anchor Fixation
Valeria Vismara1, Carlos Murillo Nieto2,3, Alfonso Gonzalez-Delgado C4
1Department of Orthopedic and Traumatology Università degli studi di Milano Milan Italy.
Arthroscopy Techniques
|July 25, 2026
Summary
This study presents a new elbow surgery technique to reconstruct the ulnar collateral ligament (UCL), focusing on restoring both anterior and posterior bundles using a minimally invasive approach with knotless anchors.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomy
Background:
- The ulnar collateral ligament (UCL) is crucial for elbow joint valgus stability.
- The UCL comprises anterior, posterior, and transverse bundles.
- Previous UCL reconstruction techniques often involve free tendon grafts and bone tunnels.
Purpose of the Study:
- To describe a novel UCL reconstruction technique.
- To restore both the anterior and posterior bundles of the UCL.
- To utilize a mini-open approach with knotless suture anchors.
Main Methods:
- A mini-open surgical approach was employed.
- Knotless suture anchors were used for fixation.
- The reconstruction focused on an onlay fashion to restore UCL bundles.
Main Results:
- The technique successfully restores both anterior and posterior bundles of the UCL.
- A mini-open approach minimizes surgical invasiveness.
- Knotless anchors provide secure fixation for the graft.
Conclusions:
- This UCL reconstruction technique offers a viable option for restoring elbow stability.
- The described method provides an effective way to address UCL injuries.
- The use of knotless anchors in an onlay fashion represents an advancement in UCL reconstruction.