A Comparison of Acute Versus Chronic Thumb Ulnar Collateral Ligament Surgery Using Primary Suture Anchor Repair and Local Soft Tissue Advancement

Delma, Stephanie; Ozdag, Yagiz; Baylor, Jessica L.; Grandizio, Louis C.; Klena, Joel C.

doi:10.1016/j.jhsg.2022.02.008

Cited by 6 publications

(1 citation statement)

References 24 publications

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“…A total of 20 studies reported on postoperative metacarpophalangeal stability (Abrahamsson et al., 1990; Başar et al., 2014, 2020; Beauperthuy and Burke, 1997; Crowley et al., 2013; Delma et al., 2022; Huber et al., 1997; Kara et al., 2019; Kastenberger et al., 2021; Kozin, 1995; Lee et al., 2020; Moharram, 2013; Osterman et al., 1981; Patel et al., 2022; Rocchi et al., 2014; Saetta et al., 1992; Sollerman et al., 1991; Sourmelis, 1997; Vihtonen et al., 1993; Weiland et al., 1997). Seven studies objectively or subjectively compared stability with the unoperated thumb, five studies reported the number of patients with valgus stress testing of the thumb showing ≤20° and eight studies subjectively reported the number of patients with clinically stable MCP joints.…”

Section: Resultsmentioning

confidence: 99%

Clinical outcomes after primary repair for thumb ulnar collateral ligament ruptures: a systematic review and meta-analysis

Legerstee,

Derksen,

van der Oest

et al. 2024

J Hand Surg Eur Vol

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There is no consensus on the best surgical technique for treating thumb ulnar collateral ligament (UCL) ruptures. This systematic review and meta-analysis investigates which primary repair technique and postoperative immobilization protocol result in the best clinical outcomes. A literature search was conducted in Embase, Medline ALL Ovid, Web of Science Core Selection and Cochrane Central Register of Controlled Trials. Pain, stability, tip pinch strength, key pinch strength, grip strength, return to work and metacarpophalangeal joint range of motion were collected as postoperative outcomes. In total, 29 studies were included. All surgical techniques resulted in satisfactory clinical outcomes, with no significant differences between bone anchor reinsertion, suture fixation, K-wire fixation and a combination of techniques. K-wire immobilization resulted in worse postoperative pain, but similar stability compared to immobilization without a K-wire. Clinical outcomes after thumb UCL repair are excellent, with no differences in clinical outcomes noted among surgical techniques.

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