Long-term results after ulnar collateral ligament reconstruction of the elbow in European athletes with interference screw technique and triceps fascia autograft

2012 ◽  
Vol 21 (12) ◽  
pp. 1656-1663 ◽  
Author(s):  
Izaäk F. Kodde ◽  
Frank T.G. Rahusen ◽  
Denise Eygendaal
Keyword(s):  
Ligament Reconstruction ◽  
Ulnar Collateral Ligament ◽  
Interference Screw ◽  
Long Term Results ◽  
Collateral Ligament ◽  
Triceps Fascia ◽  
Ulnar Collateral Ligament Reconstruction

Biomechanical Evaluation of a New Ulnar Collateral Ligament Reconstruction Technique with Interference Screw Fixation

2003 ◽  
Vol 31 (3) ◽  
pp. 332-337 ◽  
Author(s):  
Christopher S. Ahmad ◽  
Thay Q. Lee ◽  
Neal S. ElAttrache
Keyword(s):  
Soft Tissue ◽  
Ligament Reconstruction ◽  
Screw Fixation ◽  
Ulnar Collateral Ligament ◽  
Interference Screw ◽  
Reconstruction Technique ◽  
Failure Strength ◽  
Collateral Ligament ◽  
Interference Screw Fixation ◽  
Ulnar Collateral Ligament Reconstruction

Background Techniques for ulnar collateral ligament reconstruction have evolved. Hypothesis Ulnar collateral ligament reconstruction with interference screw fixation restores elbow kinematics and failure strength to that of the native ligament. Study Design Controlled laboratory study. Methods Of 10 matched pairs of cadaveric elbows, one underwent kinematic testing under conditions of an intact, released, and reconstructed ligament. Single 5-mm diameter bone tunnels were created at the isometric anatomic insertion sites on the medial epicondyle and sublime tubercle. Graft fixation was achieved with 5 × 15 mm soft tissue interference screws. The reconstructed and contralateral intact elbows were then tested to failure. Results Average stiffness for intact elbows (42.81 ± 11.6 N/mm) was significantly greater than for reconstructed elbows (20.28 ± 12.5 N/mm). Ultimate moment for intact elbows (34.0 ± 6.9 N·m) was not significantly different from reconstructed elbows (30.6 ± 19.2 N·m). Release of the ulnar collateral ligament caused a significant increase in valgus instability. Reconstruction restored valgus stability to near that of the intact elbow. Conclusions With this reconstruction method, failure strength was comparable with that of the native ligament and physiologic elbow kinematics were reliably restored. Clinical Relevance This technique returns elbow kinematics to near normal, with less soft tissue dissection and risk of ulnar nerve injury and ease of graft insertion, tensioning, and fixation.

Long-term Outcomes After Ulnar Collateral Ligament Reconstruction in Competitive Baseball Players

2014 ◽  
Vol 42 (6) ◽  
pp. 1333-1342 ◽  
Author(s):  
Daryl C. Osbahr ◽  
E. Lyle Cain ◽  
B. Todd Raines ◽  
Dave Fortenbaugh ◽  
Jeffrey R. Dugas ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Ulnar Collateral Ligament ◽  
Long Term Outcomes ◽  
Collateral Ligament ◽  
Baseball Players ◽  
Ulnar Collateral Ligament Reconstruction
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