Ligamentous repair and reconstruction for posterolateral rotatory instability of the elbow

Sánchez-Sotelo, Joaquín; Morrey, B.F.; O’Driscoll, Shawn W.

doi:10.1302/0301-620x.87b1.15096

Cited by 216 publications

(118 citation statements)

References 17 publications

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“…If they are torn and can not be re-paired, reconstruction of the ligament using palmaris longus tendon is recommended. 13 In our experience, primary stabilization is preferred than late reconstruction procedure, because primary repair immediate after injury can avoid complicated reconstruction procedure with early return to previous work activities.…”

Section: Discussionmentioning

confidence: 92%

Primary Ligament Repair for Elbow Dislocation

Jeon¹,

Kim²,

Kim³

2008

Keio J. Med.

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Few have been reported on the role of early primary ligament repair for acute unstable elbow dislocation. The purpose of this study is to evaluate the clinical outcome of early primary ligament repair for unstable elbow dislocation followed by protected early joint mobilization exercise.Thirteen patients who underwent operative treatment due to unstable elbow dislocation without associated fracture were retrospectively reviewed. There were 11 male and 2 female with average age of 37 years (range; 18-72 years). Surgical indications of the unstable elbow were subluxation or non-congruent elbow joint on the radiographs following closed reduction. Elbow dislocation which required extension block splint over 45 degrees to maintain reduction was considered as unstable elbow dislocation.In ten patients, full stability was restored only after both medial and lateral structures were re-attached. In two patients, only lateral structure (LCLC and common extensor tendon) was repaired and in one patient, only medial structure (MCL and flexor pronator tendon) was repaired for stability. Overall mean functional Mayo Elbow Performance Score was 93.5 (range; 70-100). No elbow was dislocated or subluxated after operation. All ten patients returned to previous work level in average of 3.5 months. Heterotopic calcification was noted in six patients and three had mild ulnar nerve symptoms after operation.In conclusion, primary ligament repair in acute unstable elbow dislocation were successful, because surgery achieved sufficient stability to allow early exercise (Keio J Med 57 (2) : 99 -104, June 2008)

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Section: Discussionmentioning

confidence: 92%

Primary Ligament Repair for Elbow Dislocation

Jeon¹,

Kim²,

Kim³

2008

Keio J. Med.

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“…However, thanks to scientific advances options for surgical reconstruction of the soft tissues of the elbow have multiplied in recent years (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18), so discussion of standard treatment for simple elbow dislocation has been rekindled.…”

mentioning

confidence: 99%

The Treatment of Simple Elbow Dislocation in Adults

Hackl¹,

Beyer²,

Wegmann³

et al. 2015

Deutsches Ärzteblatt International

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“…Sanchez-Sotelo et al 17 in 2005 reported that reconstruction using a tendon graft seems to provide better results than ligament repair and the results do not seem to deteriorate with time. Jones et al 18 reported good results using a docking technique for reconstruction of the LUCL in patients with PLRI, with a low complication rate.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Reinsertion of Lateral Collateral Ligament, Anterior Capsular Plication, and Coronoid Tunneling Technique for Chronic Elbow Posterolateral Rotatory Instability

Arrigoni

D’Ambrosi

Nicoletti

et al. 2016

Arthroscopy Techniques

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Posterolateral rotatory instability (PLRI) of the elbow is a chronic condition that results from lateral collateral ligament complex injury and presents with pain, clicking, and subluxation within the flexion and extension arcs of elbow motion. The primary cause involves a lesion of the lateral collateral ligament complex and its avulsion from the lateral epicondyle. In most cases, it is the result of trauma such as a fall on an outstretched hand or any other mechanism that imparts axial compression, valgus force, and supination. Several surgical techniques have been described for the treatment of PLRI, but there is no consensus regarding the ideal surgical treatment. The advantages of an arthroscopic approach for the treatment of PLRI are first diagnostic. Arthroscopy allows for visualization and diagnosis of every compartment of the elbow. The main steps of the surgical procedure consist of reinsertion of the lateral collateral ligament, anterior capsular plication, and coronoid tunneling. By use of this technique, it is possible to perform an anatomic repair and provide stability of the elbow.

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Ligamentous repair and reconstruction for posterolateral rotatory instability of the elbow

Cited by 216 publications

References 17 publications

Primary Ligament Repair for Elbow Dislocation

Primary Ligament Repair for Elbow Dislocation

The Treatment of Simple Elbow Dislocation in Adults

Arthroscopic Reinsertion of Lateral Collateral Ligament, Anterior Capsular Plication, and Coronoid Tunneling Technique for Chronic Elbow Posterolateral Rotatory Instability

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