Lateral Ulnar Collateral Ligament Reconstruction of the Elbow for Posterolateral Rotatory Instability: The Docking Technique

2013 ◽  
Vol 22 (4) ◽  
pp. e34-e35 ◽  
Author(s):  
Peter S. Johnston ◽  
Kenneth A. Kearns ◽  
Dan Witmer ◽  
Christopher C. Dodson ◽  
Matthew L. Ramsey
Keyword(s):  
Ligament Reconstruction ◽  
Ulnar Collateral Ligament ◽  
Collateral Ligament ◽  
Rotatory Instability ◽  
Posterolateral Rotatory Instability ◽  
Lateral Ulnar Collateral Ligament ◽  
Ulnar Collateral Ligament Reconstruction

Reconstruction Surgeries for Management of Posterolateral Rotatory Instability of The Elbow: A Systematic Review

2021 ◽  
Vol 15 (9) ◽  
pp. 2999-3003
Author(s):  
Ahmed Ali Alrabai ◽  
Abdullah Fahad Raizah
Keyword(s):  
Systematic Review ◽  
Ligament Reconstruction ◽  
Meta Analysis ◽  
Ulnar Collateral Ligament ◽  
Collateral Ligament ◽  
Rotatory Instability ◽  
Posterolateral Rotatory Instability ◽  
English Only ◽  
Lateral Ulnar Collateral Ligament ◽  
Ulnar Collateral Ligament Reconstruction

We aimed to investigate the indications, techniques, and results of lateral ulnar collateral ligament reconstruction (LUCLR) for posterolateral rotatory instability of the elbow (PLRI) by collecting currently available data. Several databases (PUBMED & EMBASE) were explored for articles published between 2010 and 2020. A search strategy was applied. Altogether, 2,583 studies were recovered for possible inclusion. After adjusting for duplicates, revision of methodology, exclusion of non-full text studies, and those in languages other than English, only four studies remained, which included 51 patients, with more males than females (56.9% and 43.1%, respectively). The patients’ mean age was 35.1 years. Eight patients (15.7%) were managed by the Docking technique in one retrospective study, while 43 patients (84.3%) were managed by the trans-osseous technique. Both trans-osseous and Docking techniques are safe and efficient in the management of PLRI cases. The trans-osseous technique has better functional and postoperative results and lesser complications. Mesh Words: posterolateral rotatory instability of the elbow; lateral ulnar collateral ligament reconstruction surgery; systematic review; meta-analysis

Indications, Outcomes, and Complications of Lateral Ulnar Collateral Ligament Reconstruction of the Elbow for Chronic Posterolateral Rotatory Instability: A Systematic Review

2020 ◽  
pp. 036354652092741
Author(s):  
Shreya Badhrinarayanan ◽  
Ankit Desai ◽  
Jay James Watson ◽  
Callum Hoy Reid White ◽  
Joideep Phadnis
Keyword(s):  
Systematic Review ◽  
Surgical Technique ◽  
Ligament Reconstruction ◽  
Ulnar Collateral Ligament ◽  
Complication Rates ◽  
Collateral Ligament ◽  
Recurrent Instability ◽  
Rotatory Instability ◽  
Posterolateral Rotatory Instability ◽  
Lateral Ulnar Collateral Ligament

Background: Posterolateral rotatory instability (PLRI) of the elbow can lead to pain, recurrent dislocations, and, in the worst-case scenario, disability. Purpose: To report the indications, outcomes, and complication rates of lateral ulnar collateral ligament (LUCL) reconstruction for chronic PLRI of the elbow. Study Design: Systematic review. Methods: This systematic review was registered with PROSPERO and performed in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The review entailed 17 studies that included 168 patients with isolated LUCL reconstruction for chronic PLRI. Patients with concurrent medial collateral ligament reconstruction were excluded. The primary outcome measures were patient characteristics, indication for surgery, surgical technique, functional outcomes, and complications. Results: Chronic PLRI commonly occurred after a previous traumatic injury (n = 168). Of these, there were 119 simple instabilities (no fracture) and 33 complex instabilities (associated fracture). In 11 patients, PLRI was iatrogenic. The cause was unknown in 5 patients. Grafts used were autograft (n = 102; 61%), allograft (n = 18; 11%), synthetic graft (n = 15; 9%), and unknown (n = 33; 20%). The most common surgical technique was a docking procedure or a modification of this (n = 145; 86%). Other techniques included suture anchors (n = 18; 11%), nonanatomic (n = 1; 0.6%), and unknown (n = 4; 2%). There were 45 complications reported in 37 patients (22%). The most frequent complication was recurrent instability (21/138; 15%). No other major complications were reported. The rate of recurrent instability was significantly higher in revision reconstructions (6/15 elbows; 40%) compared with primary reconstructions (15/123 elbows; 12.2%) ( P = .005). The mean Mayo Elbow Performance Score and abbreviated Disabilities of the Arm, Shoulder and Hand score were 87.5 (range, 40-100) and 18.8 (range, 0-77), respectively. Of the patients in whom range of motion was measured, 134 of 144 patients (93%) regained a functional range (30L–130L). Conclusion: LUCL reconstruction for chronic PLRI proved a reliable method of reconstruction, save for the moderate rate of recurrent instability, which was highest in revision reconstructions.

scholarly journals Anatomical parameters in the lateral ulnar collateral ligament reconstruction: a cadaver study

2013 ◽  
Vol 48 (1) ◽  
pp. 52-56
Author(s):  
Willian Nandi Stipp ◽  
Fabiano Rebouças Ribeiro ◽  
Antonio Carlos Tenor Junior ◽  
Cantídio Salvador Filardi Filho ◽  
Danilo Canesin Dal Molin ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Ulnar Collateral Ligament ◽  
Cadaver Study ◽  
Collateral Ligament ◽  
Lateral Ulnar Collateral Ligament ◽  
Ulnar Collateral Ligament Reconstruction ◽  
Anatomical Parameters
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