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The authors report the following potential conflicts of interest or sources of funding: This research was sponsored by Arthrex (ST657) in the form of direct funding, procurement of cadaveric specimens, and in-kind donation of surgical supplies. This study was presented at the 2018 Annual Meeting of the American Orthopaedic Society for Sports Medicine in poster form. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
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- Editorial Commentary: Perfect Tunnel Position in Tommy John Surgery Is Critical for SuccessArthroscopyVol. 35Issue 7
- PreviewThe number of primary ulnar collateral ligament reconstructions (UCLRs) has been increasing at an alarming rate, and so has the number of revision UCLRs. Malpositioned tunnels are a technical surgical factor that causes graft failure and need for revision. Malpositioned tunnels result in a nonisometric graft. A common malposition error is to place the inferior humeral tunnel too far posterior, which causes the graft to be tight in flexion; therefore, elbow flexion will be restricted or, if flexion is forcibly obtained, the graft will be loose and nonfunctional.
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