Surgical Repair of Posterolateral Rotatory Instability of the Elbow Using Surgilig/LockDown

Williams, Donald C.; Martin, Guy; Mascio, Livio Di

doi:10.1097/bte.0000000000000025

Cited by 2 publications

(5 citation statements)

References 23 publications

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“…It is to be noted that PLRI occurred more among males than among females, and at a relatively young age (mean: 35.1 years). Similarly, most studies on LUCLR for chronic PLRIE included more males than females, 19,23,24 and their patients' mean age was also comparable to that of our patients (31.3 years), such as those included in the studies of Williams et al 18 (27 years), Gong et al 25 (29 years), Rodriguez et al 19 (31.2 years), and Baghdadi et al 26 (33.2 years).…”

Section: Discussionsupporting

confidence: 72%

“…17 This systematic review focused on cases with PLRI managed by LUCLR. It is to be noted that results of articles on LUCLR for PLRIE were mainly published in case reports or series, 18,19 which were excluded from the present systematic review. This depicts the rarity of this clinical condition and the difficulties we face in diagnosing and managing it, resulting in a literature shortage to describe those specific characteristics and the effectiveness of management strategies.…”

Section: Discussionmentioning

confidence: 99%

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Reconstruction Surgeries for Management of Posterolateral Rotatory Instability of The Elbow: A Systematic Review

Alrabai¹,

Raizah²

2021

PJMHS

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We aimed to investigate the indications, techniques, and results of lateral ulnar collateral ligament reconstruction (LUCLR) for posterolateral rotatory instability of the elbow (PLRI) by collecting currently available data. Several databases (PUBMED & EMBASE) were explored for articles published between 2010 and 2020. A search strategy was applied. Altogether, 2,583 studies were recovered for possible inclusion. After adjusting for duplicates, revision of methodology, exclusion of non-full text studies, and those in languages other than English, only four studies remained, which included 51 patients, with more males than females (56.9% and 43.1%, respectively). The patients’ mean age was 35.1 years. Eight patients (15.7%) were managed by the Docking technique in one retrospective study, while 43 patients (84.3%) were managed by the trans-osseous technique. Both trans-osseous and Docking techniques are safe and efficient in the management of PLRI cases. The trans-osseous technique has better functional and postoperative results and lesser complications. Mesh Words: posterolateral rotatory instability of the elbow; lateral ulnar collateral ligament reconstruction surgery; systematic review; meta-analysis

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Reconstruction Surgeries for Management of Posterolateral Rotatory Instability of The Elbow: A Systematic Review

Alrabai¹,

Raizah²

2021

PJMHS

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“…Table 3 summarizes the mean PROMs in all the included studies. The preoperative mean MEPS recorded in 2 studies 12,34 was 66, and QuickDASH score reported in 1 study 34 was 47.7. The postoperative mean MEPS and QuickDASH score for all included studies were 87.5 (range, 40-100) and 18.8 (range, 0-77), respectively.…”

Section: Resultsmentioning

confidence: 87%

“…Patient-reported outcome measures (PROMs) were recorded when available. The 2 most commonly used measures were the Mayo Elbow Performance Score (MEPS) 18,19 and the abbreviated Disabilities of the Arm, Shoulder and Hand (QuickDASH) score, which were used by 9 studies ** and 4 studies, 3,27,33,34 respectively. 11…”

Section: Methodsmentioning

confidence: 99%

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Indications, Outcomes, and Complications of Lateral Ulnar Collateral Ligament Reconstruction of the Elbow for Chronic Posterolateral Rotatory Instability: A Systematic Review

Badhrinarayanan

Desai²,

Watson³

et al. 2020

Am J Sports Med

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Background: Posterolateral rotatory instability (PLRI) of the elbow can lead to pain, recurrent dislocations, and, in the worst-case scenario, disability. Purpose: To report the indications, outcomes, and complication rates of lateral ulnar collateral ligament (LUCL) reconstruction for chronic PLRI of the elbow. Study Design: Systematic review. Methods: This systematic review was registered with PROSPERO and performed in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The review entailed 17 studies that included 168 patients with isolated LUCL reconstruction for chronic PLRI. Patients with concurrent medial collateral ligament reconstruction were excluded. The primary outcome measures were patient characteristics, indication for surgery, surgical technique, functional outcomes, and complications. Results: Chronic PLRI commonly occurred after a previous traumatic injury (n = 168). Of these, there were 119 simple instabilities (no fracture) and 33 complex instabilities (associated fracture). In 11 patients, PLRI was iatrogenic. The cause was unknown in 5 patients. Grafts used were autograft (n = 102; 61%), allograft (n = 18; 11%), synthetic graft (n = 15; 9%), and unknown (n = 33; 20%). The most common surgical technique was a docking procedure or a modification of this (n = 145; 86%). Other techniques included suture anchors (n = 18; 11%), nonanatomic (n = 1; 0.6%), and unknown (n = 4; 2%). There were 45 complications reported in 37 patients (22%). The most frequent complication was recurrent instability (21/138; 15%). No other major complications were reported. The rate of recurrent instability was significantly higher in revision reconstructions (6/15 elbows; 40%) compared with primary reconstructions (15/123 elbows; 12.2%) ( P = .005). The mean Mayo Elbow Performance Score and abbreviated Disabilities of the Arm, Shoulder and Hand score were 87.5 (range, 40-100) and 18.8 (range, 0-77), respectively. Of the patients in whom range of motion was measured, 134 of 144 patients (93%) regained a functional range (30L–130L). Conclusion: LUCL reconstruction for chronic PLRI proved a reliable method of reconstruction, save for the moderate rate of recurrent instability, which was highest in revision reconstructions.

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Surgical Repair of Posterolateral Rotatory Instability of the Elbow Using Surgilig/LockDown

Cited by 2 publications

References 23 publications

Reconstruction Surgeries for Management of Posterolateral Rotatory Instability of The Elbow: A Systematic Review

Reconstruction Surgeries for Management of Posterolateral Rotatory Instability of The Elbow: A Systematic Review

Indications, Outcomes, and Complications of Lateral Ulnar Collateral Ligament Reconstruction of the Elbow for Chronic Posterolateral Rotatory Instability: A Systematic Review

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