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Gracilis and Semitendinosus Autograft for Revision Elbow Ulnar Collateral Ligament and Flexor-Pronator Mass Reconstruction
Journal article   Open access   Peer reviewed

Gracilis and Semitendinosus Autograft for Revision Elbow Ulnar Collateral Ligament and Flexor-Pronator Mass Reconstruction

Cale Dobson, Garrett V. Christensen, James V. Nepola, Brendan M. Patterson and Joseph W. Galvin
Arthroscopy techniques (Amsterdam), Vol.14(8), 103706
08/2025
DOI: 10.1016/j.eats.2025.103706
PMCID: PMC12420619
PMID: 40936538
url
https://doi.org/10.1016/j.eats.2025.103706View
Published (Version of record) Open Access

Abstract

Elbow dysfunction due to medial ulnar collateral ligament (MUCL) insufficiency can be treated nonoperatively. However, in the setting of symptomatic medial elbow pain, surgery is considered. Techniques for addressing this injury include repair augmented with an internal brace, as well as reconstruction. Critical to the success of these surgical procedures is restoration of the static stabilizer of the medial elbow, the MUCL, and the integrity of the dynamic stabilizer, the flexor-pronator mass. This technique presents an approach to revision MUCL reconstruction using gracilis autograft, with reconstruction of the flexor-pronator mass using semitendinosus autograft. [Display omitted]

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