kadensmom
Networker
24346/52 to account for the lack of tendon harvesting work?
...MCL was then identified. This was noted to have some laxity. At this point, drill tunnels were then created along sublimis tubercle using a 4.5 drill bit. A 4.5 palmaris allograft was then placed through these tunnels after rasping them to ensure continuity. A tunnel was then created through the medial epicondyle. This was felt to only have room enough for one. Two limbs of the graft were then passed through the medial epicondyle, then brought out and resutured to itself on each side, both anteriorly and posteriorly. This was then tensioned and a bio-tenodesis screw was then used in the medial epicondyle to secure the graft's interference fit. Once this was complete, the patient's elbow was noted to have good stability with no evidence of opening. The wounds were then irrigated...
Kara Hawes, CPC
...MCL was then identified. This was noted to have some laxity. At this point, drill tunnels were then created along sublimis tubercle using a 4.5 drill bit. A 4.5 palmaris allograft was then placed through these tunnels after rasping them to ensure continuity. A tunnel was then created through the medial epicondyle. This was felt to only have room enough for one. Two limbs of the graft were then passed through the medial epicondyle, then brought out and resutured to itself on each side, both anteriorly and posteriorly. This was then tensioned and a bio-tenodesis screw was then used in the medial epicondyle to secure the graft's interference fit. Once this was complete, the patient's elbow was noted to have good stability with no evidence of opening. The wounds were then irrigated...
Kara Hawes, CPC