Fig 1.

Our preferred graft is the ipsilateral palmaris longus. (A) With the patient supine and the left arm on an arm table, the graft is harvested through a single incision in the distal forearm. (B) As shown on this left elbow, the incision (dotted line) is approximately 8 cm long, travels just anterior to the center of the medial epicondyle (ME) toward the sublime tubercle, and does not cross the path of the ulnar nerve (UN). (C) The medial antebrachial cutaneous nerve (MABCN) is preserved, and the fascia is incised at the anterior aspect of the flexor carpi ulnaris (FCU).