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Laterale ulnare Kollateralbandplastik: Biomechanische Untersuchung zur posterolateralen Rotationsinstabilität des Ellenbogens

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Laterale ulnare Kollateralbandplastik: Biomechanische Untersuchung zur posterolateralen Rotationsinstabilität des Ellenbogens. / Hackl, Michael; Leschinger, T; Ries, C; Neiss, W F; Müller, L P; Wegmann, K.

in: ORTHOPADE, Jahrgang 45, Nr. 10, 10.2016, S. 895-900.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Hackl, M, Leschinger, T, Ries, C, Neiss, WF, Müller, LP & Wegmann, K 2016, 'Laterale ulnare Kollateralbandplastik: Biomechanische Untersuchung zur posterolateralen Rotationsinstabilität des Ellenbogens', ORTHOPADE, Jg. 45, Nr. 10, S. 895-900. https://doi.org/10.1007/s00132-016-3321-2

APA

Hackl, M., Leschinger, T., Ries, C., Neiss, W. F., Müller, L. P., & Wegmann, K. (2016). Laterale ulnare Kollateralbandplastik: Biomechanische Untersuchung zur posterolateralen Rotationsinstabilität des Ellenbogens. ORTHOPADE, 45(10), 895-900. https://doi.org/10.1007/s00132-016-3321-2

Vancouver

Hackl M, Leschinger T, Ries C, Neiss WF, Müller LP, Wegmann K. Laterale ulnare Kollateralbandplastik: Biomechanische Untersuchung zur posterolateralen Rotationsinstabilität des Ellenbogens. ORTHOPADE. 2016 Okt;45(10):895-900. https://doi.org/10.1007/s00132-016-3321-2

Bibtex

@article{a159e9f8029441938fdf0f27d0dfcd55,
title = "Laterale ulnare Kollateralbandplastik: Biomechanische Untersuchung zur posterolateralen Rotationsinstabilit{\"a}t des Ellenbogens",
abstract = "BACKGROUND: Chronic posterolateral rotatory instability (PLRI) of the elbow is the result of an insufficiency of the lateral collateral ligament (LCL). Lateral ulnar collateral ligament (LUCL) reconstruction represents a well-established treatment method for PLRI. However, recurrent instability remains a problem.OBJECTIVES: The goal of this in-vitro study was to evaluate the posterolateral rotatory stability of the intact elbow, after sectioning of the LCL and after LUCL reconstruction with a triceps tendon autograft and double BicepsButton(TM) fixation.MATERIALS AND METHODS: Posterolateral rotatory stability of 6 fresh-frozen elbow specimens at a torque of 3 Nm was analyzed at 0, 45, 90 and 120° of flexion for the intact LCL, after sectioning of the LCL and after LUCL reconstruction. Moreover, cyclic loading (1000 cycles) of the intact specimens and after LUCL reconstruction was performed.RESULTS: The intact LCL and the LUCL reconstruction provided equal primary stability (0.250 ≤ p ≤ 0.888). Sectioning of the LCL significantly increased PLRI (p < 0.001). The stability of the intact specimens and after LUCL reconstruction did not differ after cyclic loading (p = 0.218). During cyclic loading, posterolateral rotation increased significantly more after LUCL reconstruction (3.2 ± 0.8°) when compared to the native LCL (2.0 ± 0.7°, p = 0.020).CONCLUSIONS: LUCL reconstruction with BicepsButton(TM) fixation provides comparable stability to the native LCL. Further clinical results are necessary to evaluate whether this technique can decrease the complication rate.",
keywords = "Aged, Cadaver, Collateral Ligament, Ulnar/injuries, Elbow Joint/injuries, Female, Humans, Joint Instability/physiopathology, Male, Models, Biological, Range of Motion, Articular, Rotation, Tensile Strength, Treatment Outcome, Ulnar Collateral Ligament Reconstruction/methods",
author = "Michael Hackl and T Leschinger and C Ries and Neiss, {W F} and M{\"u}ller, {L P} and K Wegmann",
year = "2016",
month = oct,
doi = "10.1007/s00132-016-3321-2",
language = "Deutsch",
volume = "45",
pages = "895--900",
journal = "ORTHOPADE",
issn = "0085-4530",
publisher = "Springer",
number = "10",

}

RIS

TY - JOUR

T1 - Laterale ulnare Kollateralbandplastik: Biomechanische Untersuchung zur posterolateralen Rotationsinstabilität des Ellenbogens

AU - Hackl, Michael

AU - Leschinger, T

AU - Ries, C

AU - Neiss, W F

AU - Müller, L P

AU - Wegmann, K

PY - 2016/10

Y1 - 2016/10

N2 - BACKGROUND: Chronic posterolateral rotatory instability (PLRI) of the elbow is the result of an insufficiency of the lateral collateral ligament (LCL). Lateral ulnar collateral ligament (LUCL) reconstruction represents a well-established treatment method for PLRI. However, recurrent instability remains a problem.OBJECTIVES: The goal of this in-vitro study was to evaluate the posterolateral rotatory stability of the intact elbow, after sectioning of the LCL and after LUCL reconstruction with a triceps tendon autograft and double BicepsButton(TM) fixation.MATERIALS AND METHODS: Posterolateral rotatory stability of 6 fresh-frozen elbow specimens at a torque of 3 Nm was analyzed at 0, 45, 90 and 120° of flexion for the intact LCL, after sectioning of the LCL and after LUCL reconstruction. Moreover, cyclic loading (1000 cycles) of the intact specimens and after LUCL reconstruction was performed.RESULTS: The intact LCL and the LUCL reconstruction provided equal primary stability (0.250 ≤ p ≤ 0.888). Sectioning of the LCL significantly increased PLRI (p < 0.001). The stability of the intact specimens and after LUCL reconstruction did not differ after cyclic loading (p = 0.218). During cyclic loading, posterolateral rotation increased significantly more after LUCL reconstruction (3.2 ± 0.8°) when compared to the native LCL (2.0 ± 0.7°, p = 0.020).CONCLUSIONS: LUCL reconstruction with BicepsButton(TM) fixation provides comparable stability to the native LCL. Further clinical results are necessary to evaluate whether this technique can decrease the complication rate.

AB - BACKGROUND: Chronic posterolateral rotatory instability (PLRI) of the elbow is the result of an insufficiency of the lateral collateral ligament (LCL). Lateral ulnar collateral ligament (LUCL) reconstruction represents a well-established treatment method for PLRI. However, recurrent instability remains a problem.OBJECTIVES: The goal of this in-vitro study was to evaluate the posterolateral rotatory stability of the intact elbow, after sectioning of the LCL and after LUCL reconstruction with a triceps tendon autograft and double BicepsButton(TM) fixation.MATERIALS AND METHODS: Posterolateral rotatory stability of 6 fresh-frozen elbow specimens at a torque of 3 Nm was analyzed at 0, 45, 90 and 120° of flexion for the intact LCL, after sectioning of the LCL and after LUCL reconstruction. Moreover, cyclic loading (1000 cycles) of the intact specimens and after LUCL reconstruction was performed.RESULTS: The intact LCL and the LUCL reconstruction provided equal primary stability (0.250 ≤ p ≤ 0.888). Sectioning of the LCL significantly increased PLRI (p < 0.001). The stability of the intact specimens and after LUCL reconstruction did not differ after cyclic loading (p = 0.218). During cyclic loading, posterolateral rotation increased significantly more after LUCL reconstruction (3.2 ± 0.8°) when compared to the native LCL (2.0 ± 0.7°, p = 0.020).CONCLUSIONS: LUCL reconstruction with BicepsButton(TM) fixation provides comparable stability to the native LCL. Further clinical results are necessary to evaluate whether this technique can decrease the complication rate.

KW - Aged

KW - Cadaver

KW - Collateral Ligament, Ulnar/injuries

KW - Elbow Joint/injuries

KW - Female

KW - Humans

KW - Joint Instability/physiopathology

KW - Male

KW - Models, Biological

KW - Range of Motion, Articular

KW - Rotation

KW - Tensile Strength

KW - Treatment Outcome

KW - Ulnar Collateral Ligament Reconstruction/methods

U2 - 10.1007/s00132-016-3321-2

DO - 10.1007/s00132-016-3321-2

M3 - SCORING: Zeitschriftenaufsatz

C2 - 27591069

VL - 45

SP - 895

EP - 900

JO - ORTHOPADE

JF - ORTHOPADE

SN - 0085-4530

IS - 10

ER -