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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2013

01.02.2013 | Elbow

Percutaneous lateral ulnar collateral ligament reconstruction

verfasst von: Jens Dargel, Klaus Burkhart, Dietmar Pennig, Gregor Stein, Peer Eysel, Lars Peter Müller

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 2/2013

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Abstract

Purpose

Open surgical reconstruction of the lateral ulnar collateral ligament is the standard treatment for symptomatic posterolateral rotatory instability of the elbow. It involves dissection and retraction of the lateral elbow muscles, which have been shown to be secondary stabilizers of the lateral elbow. We introduce a new muscle-protecting technique for single-strand lateral ulnar collateral ligament reconstruction and report on the isometry and primary stability when compared with a conventional muscle-splitting procedure. It was hypothesized that percutaneous lateral ulnar collateral ligament reconstruction provided isometry over the range of motion and that stability was comparable with a conventional open procedure.

Methods

In sixteen human cadaver arms, the intact and the lateral collateral ligament complex-deficient situation was tested. Open lateral ulnar collateral ligament reconstruction was performed using a single-strand palmaris graft with humeral and ulnar tenodesis screw fixation. Posterolateral rotational stability was compared with a new reconstruction method, which percutaneously places a single-strand palmaris graft with humeral and ulnar tenodesis screw fixation.

Results

Both open and percutaneous lateral ulnar collateral ligament reconstruction provided isometry over the range of motion and restored posterolateral stability to that of the intact situation. No significant differences between open and percutaneous reconstruction were found.

Conclusions

Percutaneous lateral ulnar collateral ligament reconstruction aims to preserve the lateral elbow muscles and to minimize soft tissue dissection. It has been shown that in an in vitro setup, this new procedure provides isometry over the range of motion and sufficiently restores posterolateral rotatory stability.
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Metadaten
Titel
Percutaneous lateral ulnar collateral ligament reconstruction
verfasst von
Jens Dargel
Klaus Burkhart
Dietmar Pennig
Gregor Stein
Peer Eysel
Lars Peter Müller
Publikationsdatum
01.02.2013
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 2/2013
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2019-1

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