The treatment of recurrent posterolateral instability of the elbow

Abstract

This study describes the surgical technique used for reconstruction and reinforcement of the lateral collateral ligament complex in patients with posterolateral instability of the elbow and the results. A triceps tendon graft from the ipsilateral elbow which was inserted through bone tunnels and fixed with bone anchors augmented the reconstruction. The operation was performed on 18 consecutive patients with instability after an acute traumatic dislocation. The mean follow-up was 44 months (14 to 88). There were no recurrent dislocations. The elbow was stable in 14 patients; three had some minor limitation of movement. Thirteen had no or only occasional slight pain, 15 returned to their normal level of activity and 17 were satisfied with the outcome. There was only one failure.

Ligamentous reconstruction of the elbow in a 13-year old using a circumferential technique

“…3,8,10,17 Nor to our knowledge has delayed medial and lateral reconstruction of the elbow been previously described in a child. In the present report we describe a case of recurrent dislocations of the elbow in a 13-year-old male, necessitating reconstruction of both the medial and lateral ligamentous complexes.…”

Long-term outcome after ulnar osteotomy for missed Monteggia fracture dislocation in children

“…In this procedure, the ligament is reconstructed by a lateral strip from the triceps tendon [31]. Other surgeons have used a palmaris longus tendon graft [1], fascia strips [1,2,14], or remnants of the original ligament for reconstruction, as in the present study [13].…”

Reinvestigation of the Morphological Characteristics of the Lateral Ulnar Collateral Ligament in Humans

“…Morrey et al have mentioned that the axis of elbow motion passes though the center of the capitellum using the biomechanical method 17) . It was also mentioned that the humeral insertion should be located at the center of the capitellum for LUCL reconstruction 11,13) . The current study revealed that the humerus insertion of the LUCL was located at nearly the center of the capitellum on 3D imaging, and these findings are agreement with those of previous studies and reports on LUCL reconstruction 11,13) .…”

“…Although PLRI is related to injury of the LCL complex, it has not been treated effectively; therefore, surgical treatment for PLRI seems appropriate 2) . Recently, various surgical techniques for repair, reattachment, or reconstruction for severe PLRI have been reported [9][10][11] . On the other hand, several studies have shown that reconstruction of the LUCL, such as using tunnels placed in the lateral humeral condyle and the supinator crest of the ulna with tendon grafting, is considerably effective for restoring its stability 2,9,12) .…”