Annular ligament reconstruction in chronic Monteggia fracture-dislocations in the adult population: indications and surgical technique

Canton, Gianluca; Hoxhaj, Bramir; Fattori, Roberto; Murena, Luigi

doi:10.1007/s12306-018-0564-6

Cited by 8 publications

(13 citation statements)

References 39 publications

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“…The principle behind the reconstruction of the annular ligament is that it prevents the anterior, posterior and lateral displacement of the radial head, 11 without it, there will be an alteration in elbow kinematics which can lead to radioulnar arthritis. 12 In acute injury, even with radial head displacement, the annular ligament is most likely to be intact, but it can get displaced in-between the radiocapitellar joint a similar scenario in our case too. In chronic cases (more than 4 weeks) the ligament usually gets absorbed and requires a reconstruction.…”

Section: Discussionsupporting

confidence: 66%

Heterotopic Ossification of annular ligament: A case report and review of literature

Kamble

Prabhakar

Wankhade

2021

Journal of Clinical Orthopaedics and Trauma

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Heterotopic Osification (HO) commonly occurs in the hip and elbow joint post, trauma, surgery or dislocation. HO can occur anywhere in the body, and the term Heterotopic Ossification of Ligaments and Tendon (HOTL) is specifically used to denote HO occurring in ligaments and tendons. HOTL of an annular ligament is reported rarely in the literature. Here we describe a case of calcified annular ligament in a neglected monteggia fracture (Bado Type e 1), which was managed by excision and reconstruction of the same using triceps fascia. Post-op review after 2.5 years showed a stable elbow, with some restriction in pronation.

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Section: Discussionsupporting

confidence: 66%

Heterotopic Ossification of annular ligament: A case report and review of literature

Kamble

Prabhakar

Wankhade

2021

Journal of Clinical Orthopaedics and Trauma

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“…Canton et al have used the extensor carpi radialis longus tendon to reconstruct the annular ligament. 15 In our technique we are able to reconstruct the annular ligament through a single incision, requiring no hardware, using only the fascia overlying the extensor carpi radialis longus tendon.…”

Section: Discussionmentioning

confidence: 99%

A novel technique of annular ligament reconstruction using extensor carpi radialis longus tendon fascia: a report of 3 cases

Maniar¹,

Kakatkar

2021

Int J Res Orthop

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<p class="abstract">Annular ligament is an important stabiliser of radial head. In cases of chronic radial head dislocation, annular ligament reconstruction is warranted to maintain radial head reduction to improve elbow function. We have reported here a novel technique using the fascia overlying extensor carpi radialis longus tendon for annular ligament reconstruction. We reported an average flexion of 130º and full supination in all 3 cases. 2 patients achieved mid pronation and 1 achieved full pronation; comparable with other described techniques. Our novel technique through a single incision has excellent functional outcomes. Additionally, it is simple, cost effective, requires no hardware.</p>

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“…Given that the annular ligament gives both transverse and longitudinal plane stability, joint preserving annular ligament reconstruction is indicated in cases of proximal radioulnar joint instability such as the case described above [11]. The indication of annular ligament reconstruction is well understood, although there are no conclusive evidence on a particular surgical technique [12].…”

Section: Discussionmentioning

confidence: 99%

Two-Year Outcome of Synthetic Annular Ligament Reconstruction in the Elbow: A Case Report

Belani

Abdullah

Harun

et al. 2020

Cureus

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Monteggia fracture is commonly treated with open anatomical reduction and fixation of the ulna fracture. The radial head will be automatically reduced once anatomical fixation of the ulna is achieved. However, it is occasionally associated with an irreducible radial head dislocation requiring an open reduction and reconstruction of the torn annular ligament. We describe a case of traumatic Monteggia fracture which underwent initial plating, however post-operative radiograph denoted an irreducible radial head secondary to a ruptured annular ligament. We reconstructed the annular ligament with a synthetic graft sling around the radial neck with an anchor suture. The radial head was stable in all directions after annular ligament reconstruction. A two-year follow-up shows full range of motion of the elbow joint with osteolysis of the radial head, no other operative morbidity was observed.

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Annular ligament reconstruction in chronic Monteggia fracture-dislocations in the adult population: indications and surgical technique

Cited by 8 publications

References 39 publications

Heterotopic Ossification of annular ligament: A case report and review of literature

Heterotopic Ossification of annular ligament: A case report and review of literature

A novel technique of annular ligament reconstruction using extensor carpi radialis longus tendon fascia: a report of 3 cases

Two-Year Outcome of Synthetic Annular Ligament Reconstruction in the Elbow: A Case Report

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