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FIGURE 47.48
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Technique of Nestor et al. A, Imbrication and advancement of ulnar band of radial collateral ligament and radial part of radial collateral ligament with Bunnell suture technique, accomplished by placing sutures through drill holes at anatomic origin of ligament in humerus. B, Ulnar tunnel placed in crista supinatoris tubercle and oriented to have optimal alignment with isometric point. C, Placement of graft into ulnar tunnel and creation of yoke stitch. D, Graft tensioning after introduction into humeral tunnels. E, Tunnel is made in humerus and expanded in posterosuperior direction to emerge posterior and superior to point of isometry. Second humeral tunnel exits posterior and inferior from common entry site. Palmaris longus tendon is drawn through ulnar and humeral tunnels and tied to itself after recrossing joint. SEE TECHNIQUE 47.17.

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