Institutional members access full text with Ovid®

Share this article on:

Repair of the Acutely Unstable Elbow: Use of Tensionable Anchors

Lee, Yu C. MBBS*,†; Eng, Kevin MBBS, FRACS*,†; Keogh, Angus MBBS, FRACS*,†; McLean, James M. MBBS, MS*,†,‡; Bain, Gregory I. PhD, MBBS, FRACS*,†,‡

Techniques in Hand & Upper Extremity Surgery: December 2012 - Volume 16 - Issue 4 - p 225–229
doi: 10.1097/BTH.0b013e31826cef1c

Acute ruptures of the medial or lateral collateral ligaments of the elbow associated with elbow dislocations have traditionally been repaired back to their respective epicondyles using suture anchors or transosseous sutures. Tensioning of those ligaments using conventional techniques had been difficult because of the need to maintain tension while tying and securing sequential knots. Tensionable anchors are a new generation of anchors that have been used for rotator cuff repair, but can be employed for the repair of collateral ligaments and capsular tears. It allows fine control and sequential tensioning of the ligament repair, and on-table assessment of stability before locking the anchor. We present a modified surgical technique for the repair of collateral ligaments repair using tensionable anchors in acute elbow dislocations or fracture dislocations.

*Department of Orthopaedic Surgery, Modbury Public Hospital, Modbury, SA, Australia

Department of Orthopaedics and Trauma, Royal Adelaide Hospital

Discipline of Orthopaedics and Trauma, University of Adelaide, Adelaide, SA, Australia

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Gregory I. Bain, PhD, MD, 196 Melbourne Street, North Adelaide, SA 5006, Australia. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.