LUCL-Bandplastik mit Trizepssehnentransplantat zur Therapie der posterolateralen Rotationsinstabilität am Ellenbogen
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LUCL-Bandplastik mit Trizepssehnentransplantat zur Therapie der posterolateralen Rotationsinstabilität am Ellenbogen. / Dehlinger, F I; Ries, C; Hollinger, B.
in: OPER ORTHOP TRAUMATO, Jahrgang 26, Nr. 4, 08.2014, S. 414-27, 429.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - LUCL-Bandplastik mit Trizepssehnentransplantat zur Therapie der posterolateralen Rotationsinstabilität am Ellenbogen
AU - Dehlinger, F I
AU - Ries, C
AU - Hollinger, B
PY - 2014/8
Y1 - 2014/8
N2 - OBJECTIVE: Re-establishment of radial stability within the elbow joint in cases of arthroscopically or clinically confirmed posterolateral rotatory instability.INDICATIONS: Posttraumatic or chronic degenerative posterolateral rotatory instability at least grade I-II according to O'Driscoll.CONTRAINDICATIONS: Elbow stiffness or elbow arthritis and lateral epicondylitis, if a posterolateral rotatory instability has been excluded as the reason for the symptoms.SURGICAL TECHNIQUE: Reconstruction or augmentation of the insufficient lateral ulnar collateral ligament (LUCL) with an autologous triceps tendon graft. A stripe of the triceps tendon is fixed at the epicondylus humeri radialis and at the base of the annular ligament at the proximal radial ulna with tenodesis screws or buttons, then the extensor origins, which were detached before are fixated as well.POSTOPERATIVE MANAGEMENT: Postoperative treatment with an elbow orthesis for 6 weeks, in the first 4 weeks limitation of complete extension and flexion, full weight bearing after 3 months.RESULTS: Retrospective analysis of 47 LUCL reconstructions from 2008-2010 with good results concerning pain reduction and acceptance, improvement of the Mayo Elbow Performance Score from 49 to 82, low complication rate with one elbow stiffness, one temporary ulnar nerve lesion, and one recurrent instability.
AB - OBJECTIVE: Re-establishment of radial stability within the elbow joint in cases of arthroscopically or clinically confirmed posterolateral rotatory instability.INDICATIONS: Posttraumatic or chronic degenerative posterolateral rotatory instability at least grade I-II according to O'Driscoll.CONTRAINDICATIONS: Elbow stiffness or elbow arthritis and lateral epicondylitis, if a posterolateral rotatory instability has been excluded as the reason for the symptoms.SURGICAL TECHNIQUE: Reconstruction or augmentation of the insufficient lateral ulnar collateral ligament (LUCL) with an autologous triceps tendon graft. A stripe of the triceps tendon is fixed at the epicondylus humeri radialis and at the base of the annular ligament at the proximal radial ulna with tenodesis screws or buttons, then the extensor origins, which were detached before are fixated as well.POSTOPERATIVE MANAGEMENT: Postoperative treatment with an elbow orthesis for 6 weeks, in the first 4 weeks limitation of complete extension and flexion, full weight bearing after 3 months.RESULTS: Retrospective analysis of 47 LUCL reconstructions from 2008-2010 with good results concerning pain reduction and acceptance, improvement of the Mayo Elbow Performance Score from 49 to 82, low complication rate with one elbow stiffness, one temporary ulnar nerve lesion, and one recurrent instability.
KW - Adult
KW - Aged
KW - Bone Screws
KW - Elbow Joint/diagnostic imaging
KW - Female
KW - Humans
KW - Joint Instability/diagnosis
KW - Ligaments, Articular/diagnostic imaging
KW - Male
KW - Middle Aged
KW - Radiography
KW - Range of Motion, Articular
KW - Reconstructive Surgical Procedures/instrumentation
KW - Rotation
KW - Tendons/diagnostic imaging
KW - Treatment Outcome
U2 - 10.1007/s00064-012-0182-7
DO - 10.1007/s00064-012-0182-7
M3 - SCORING: Zeitschriftenaufsatz
C2 - 24253071
VL - 26
SP - 414-27, 429
JO - OPER ORTHOP TRAUMATO
JF - OPER ORTHOP TRAUMATO
SN - 0934-6694
IS - 4
ER -
