Patient outcomes for the Internal Joint Stabilizer of the Elbow (IJS-E)

Pasternack, Jordan B.; Ciminero, Matthew; Choueka, Jack; Kang, Kevin

doi:10.1016/j.jse.2019.12.018

Cited by 20 publications

(18 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The internal joint stabilizer has also been used for cases of traumatic joint instability as an alternative to a dynamic external fixator. Pasternack et al9 in 2020 reported a final ROM of 106 degrees of flexion-extension, that is consistent with standard techniques used for terrible triad and complex elbow dislocation injuries. Various techniques for the augmentation and reconstruction of acute and chronic elbow dislocations have been reported 5–8,10.…”

supporting

confidence: 53%

Modified Graft Loop Technique Augmented With Nonabsorbable Suture Tape for Chronic Elbow Dislocation

Sachinis

Vasiadis

Yiannakopoulos

et al. 2022

Techniques in Hand &Amp; Upper Extremity Surgery

View full text Add to dashboard Cite

The task of achieving a good clinical outcome on patients with chronic elbow dislocation is arduous. Any stabilization method used should be robust enough in order to allow for early elbow motion. Immobilization of the elbow for a prolonged time period may lead to stiffness and heterotopic ossification. Several methods of ligament reconstruction have tried to address the global instability that is present in such scenarios. We describe a technique of reconstructing both bands of the medial ligament, and the lateral ulnar collateral ligament of the elbow, by using a looped tendon graft and reinforcing the lateral side with nonabsorbable tape and anchors. The graft is passed as a loop once through the humerus and ulna, recreating the anterior portion of the medial collateral ligament and the lateral ulnar collateral ligament. Then the lateral side is augmented with the tape and anchors and the loop is fixed. Lastly, the medial tail of the graft is used in order to recreate the posterior part of the medial ligament. This technique uses a single graft along with nonabsorbable tape and anchors to make a robust construct that will withstand early range of motion, without jeopardizing elbow stability. Potential complications include damage to the ulnar nerve, infection, elbow stiffness, or persistent instability in complex cases with bone involvement.

show abstract

supporting

confidence: 53%

Modified Graft Loop Technique Augmented With Nonabsorbable Suture Tape for Chronic Elbow Dislocation

Sachinis

Vasiadis

Yiannakopoulos

et al. 2022

Techniques in Hand &Amp; Upper Extremity Surgery

View full text Add to dashboard Cite

show abstract

“…Two important differences from our study may have contributed to the inferior functional scores and final range of motion compared to prior reports. A greater number of patients in these series underwent implant removal 1,2 and/or capsular releases. 3 The study by Orbay et al did not specify whether capsular release was performed at time of routine implant removal.…”

Section: Discussionmentioning

confidence: 99%

“…Prior case series have shown that it is effective in maintaining congruent and stable elbow reduction to allow for early motion. [1][2][3] In addition, it may be less technically challenging to apply than alternative techniques, such as hinged external fixators.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of elbow fracture-dislocations treated with and without an Internal Joint Stabilizer of the Elbow (IJS-E): A retrospective cohort study

et al. 2022

View full text Add to dashboard Cite

Background The internal joint stabilizer of the elbow (IJS-E) adds to techniques for maintaining reduction of elbow fracture-dislocations while allowing early motion. Literature on this device is limited to small case series. Methods Retrospective comparison of function, motion and complications in patients who sustained elbow fracture-dislocations reconstructed with (30 patients) and without (34 patients) an IJS-E by a single surgeon. The minimum follow up was 10 weeks. Results The mean follow up was 16 ± 17 months. The mean final flexion arc did not differ between the two groups, however patients without an IJS achieved greater pronation. There were no differences in mean Mayo Elbow Performance, Quick-DASH and pain scores. Five patients (17%) underwent IJS-E removal. The rates of capsular releases for stiffness after 12 weeks and recurrent instability were similar. Conclusions The use of an IJS-E to supplement traditional repair of elbow fracture-dislocations does not appear to affect final function or motion, and appears to be effective in reducing the risk of recurrent instability in a group of patients deemed high risk. However, its use is weighed against a 17% rate of removal at early follow up and possibly inferior forearm rotation. Level of Evidence Retrospective Cohort study, Level 3

show abstract

“…Indications for IJS devices have been heterogenous and subjective since its birth. The most recent study on IJS use by Pasternack et al 19 recommended IJS for both acute or chronic elbow instability.…”

Section: Discussionmentioning

confidence: 99%

The internal joint stabilizer for chronic elbow dislocation: a surgical technique

Salazar

Kanawade

Prabhakar

et al. 2022

JSES Reviews, Reports, and Techniques

View full text Add to dashboard Cite

Patient outcomes for the Internal Joint Stabilizer of the Elbow (IJS-E)

Cited by 20 publications

References 21 publications

Modified Graft Loop Technique Augmented With Nonabsorbable Suture Tape for Chronic Elbow Dislocation

Modified Graft Loop Technique Augmented With Nonabsorbable Suture Tape for Chronic Elbow Dislocation

Outcomes of elbow fracture-dislocations treated with and without an Internal Joint Stabilizer of the Elbow (IJS-E): A retrospective cohort study

The internal joint stabilizer for chronic elbow dislocation: a surgical technique

Contact Info

Product

Resources

About