title: Repair of the acutely unstable elbow:  use of tensionable anchors.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, Modbury Public Hospital, Modbury, SA, Australia.
authors.forename: Yu C
authors.initials: YC
authors.lastname: Lee
authors.forename: Kevin
authors.initials: K
authors.lastname: Eng
authors.forename: Angus
authors.initials: A
authors.lastname: Keogh
authors.forename: James M
authors.initials: JM
authors.lastname: McLean
authors.forename: Gregory I
authors.initials: GI
authors.lastname: Bain
mesh_terms: D000328:Adult; D000368:Aged; D017885:Collateral Ligaments / Q000601:surgery*; D005260:Female; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D017888:Medial Collateral Ligament, Knee / Q000601:surgery; D012421:Rupture; D053441:Suture Anchors; D013536:Suture Techniques; D000092464:Elbow Injuries