Clinical Outcomes of Lateral Ulnar Collateral Ligament Repair of the Elbow Using a Cortical Button

IF 4.5 Q1 EDUCATION & EDUCATIONAL RESEARCH

Techniques in Shoulder and Elbow Surgery Pub Date : 2019-12-01 DOI:10.1097/BTE.0000000000000178

C. Zale, H. Kim

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Abstract

The purpose of this retrospective case series was to report a new surgical technique for lateral ulnar collateral ligament (LUCL) repair using a cortical button and the clinical results. Twenty patients underwent a LUCL repair using a cortical button at a single institution were included for evaluation of the demographic, radiologic, and clinical examination data. Nine patients returned for a separate study visit for further clinical examination and outcome surveys. Eighteen patients (mean age: 48 y, 10 males) received at least 1 additional procedure other than a LUCL repair. For the 9 patients who returned for a study visit (average follow-up: 27 mo), the mean QuickDASH score was 22.4 and the mean Mayo Elbow Performance Score 90. Six patients reported no pain, 1 moderate, and 2 mild. All 9 patients were satisfied. Average flexion-extension and supination-pronation arc of motion was 91% and 89% of the contralateral elbow, respectively. LUCL repair using a cortical button resulted in satisfactory clinical outcomes and can be a viable surgical option in acute elbow instability, especially in elderly patients with osteopenic bone.

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应用皮质按钮修复尺骨外侧副韧带的临床疗效

本回顾性病例系列的目的是报告一种使用皮质按钮修复尺侧副韧带（LUCL）的新手术技术和临床结果。在一个机构中，20名患者使用皮质按钮接受了LUCL修复，用于评估人口统计学、放射学和临床检查数据。9名患者返回进行单独的研究访问，以进行进一步的临床检查和结果调查。18名患者（平均年龄：48岁 y、 10名男性）接受了除LUCL修复之外的至少1次额外的手术。对于返回研究访视的9名患者（平均随访：27 mo），平均QuickDASH得分为22.4，平均Mayo肘部表现得分为90。6名患者报告无疼痛，1名中度疼痛，2名轻度疼痛。9例患者均满意。对侧肘部的平均屈伸和旋后-内旋运动弧分别为91%和89%。使用皮质按钮进行LUCL修复可获得令人满意的临床结果，并可作为治疗急性肘关节不稳定的可行手术选择，尤其是在患有骨质疏松的老年患者中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Techniques in Shoulder and Elbow Surgery ORTHOPEDICS-

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期刊介绍： Published quarterly, Techniques in Shoulder & Elbow Surgery escorts the reader into the operating room and supplies step-by-step details of exciting and advanced techniques. It explains the evolution of and rationale for the procedures, identifies the pitfalls and possible complications, provides invaluable tips for improving surgical results and it is illustrated cover to cover with high-quality intraoperative photographs and drawings, many in full color.