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Annular ligament reconstruction with the superficial head of the brachialis: surgical technique and biomechanical evaluation

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Annular ligament reconstruction with the superficial head of the brachialis: surgical technique and biomechanical evaluation. / Hackl, Michael; Wegmann, Kilian; Ries, Christian; Lappen, Sebastian; Scaal, Martin; Müller, Lars Peter.

In: SURG RADIOL ANAT, Vol. 39, No. 6, 06.2017, p. 585-591.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Hackl, M, Wegmann, K, Ries, C, Lappen, S, Scaal, M & Müller, LP 2017, 'Annular ligament reconstruction with the superficial head of the brachialis: surgical technique and biomechanical evaluation', SURG RADIOL ANAT, vol. 39, no. 6, pp. 585-591. https://doi.org/10.1007/s00276-016-1774-y

APA

Hackl, M., Wegmann, K., Ries, C., Lappen, S., Scaal, M., & Müller, L. P. (2017). Annular ligament reconstruction with the superficial head of the brachialis: surgical technique and biomechanical evaluation. SURG RADIOL ANAT, 39(6), 585-591. https://doi.org/10.1007/s00276-016-1774-y

Vancouver

Hackl M, Wegmann K, Ries C, Lappen S, Scaal M, Müller LP. Annular ligament reconstruction with the superficial head of the brachialis: surgical technique and biomechanical evaluation. SURG RADIOL ANAT. 2017 Jun;39(6):585-591. https://doi.org/10.1007/s00276-016-1774-y

Bibtex

@article{d073d6a4a51c41f298249f0a8be3df74,
title = "Annular ligament reconstruction with the superficial head of the brachialis: surgical technique and biomechanical evaluation",
abstract = "PURPOSE: The purpose of this study was to perform biomechanical testing of annular ligament (AL) reconstruction using the superficial head of the brachialis tendon (SHBT) as a distally based tendon graft. We hypothesized that posterior translation of the radial head following AL reconstruction with an SHBT graft does not significantly differ from intact specimens.METHODS: Six fresh-frozen elbow specimens were used. The stability of the radial head against posterior translation forces (30 N) was evaluated in 0°, 45°, 90° and 120° of elbow flexion. Posterior translation was obtained for the intact AL, the sectioned AL and the reconstructed AL. Cyclic loading (100 cycles) in 90° of elbow flexion was performed for the intact and the reconstructed AL.RESULTS: Posterior translation of the radial head decreased during elbow flexion in native specimens. Sectioning of the AL significantly increased instability over the full range of motion. AL reconstruction with the SHBT restored the stability of the proximal radius but-other than the native AL-was not influenced by elbow flexion. In 120° of flexion the native AL provided significantly more stability when compared to the reconstructed AL. Cyclic loading did not provide significant differences between native and reconstructed specimens.CONCLUSIONS: We provide a feasible technique for AL reconstruction using the SHBT. The biomechanical results obtained in this study confirm the efficacy of the procedure. AL reconstruction restores the stability of the proximal radius, yet it cannot fully mimic the complex features of the intact AL.",
keywords = "Aged, Aged, 80 and over, Biomechanical Phenomena, Cadaver, Elbow/anatomy & histology, Humans, Ligaments, Articular/anatomy & histology, Radius/anatomy & histology, Range of Motion, Articular/physiology, Reconstructive Surgical Procedures, Tendons/anatomy & histology",
author = "Michael Hackl and Kilian Wegmann and Christian Ries and Sebastian Lappen and Martin Scaal and M{\"u}ller, {Lars Peter}",
year = "2017",
month = jun,
doi = "10.1007/s00276-016-1774-y",
language = "English",
volume = "39",
pages = "585--591",
journal = "SURG RADIOL ANAT",
issn = "0930-1038",
publisher = "Springer Paris",
number = "6",

}

RIS

TY - JOUR

T1 - Annular ligament reconstruction with the superficial head of the brachialis: surgical technique and biomechanical evaluation

AU - Hackl, Michael

AU - Wegmann, Kilian

AU - Ries, Christian

AU - Lappen, Sebastian

AU - Scaal, Martin

AU - Müller, Lars Peter

PY - 2017/6

Y1 - 2017/6

N2 - PURPOSE: The purpose of this study was to perform biomechanical testing of annular ligament (AL) reconstruction using the superficial head of the brachialis tendon (SHBT) as a distally based tendon graft. We hypothesized that posterior translation of the radial head following AL reconstruction with an SHBT graft does not significantly differ from intact specimens.METHODS: Six fresh-frozen elbow specimens were used. The stability of the radial head against posterior translation forces (30 N) was evaluated in 0°, 45°, 90° and 120° of elbow flexion. Posterior translation was obtained for the intact AL, the sectioned AL and the reconstructed AL. Cyclic loading (100 cycles) in 90° of elbow flexion was performed for the intact and the reconstructed AL.RESULTS: Posterior translation of the radial head decreased during elbow flexion in native specimens. Sectioning of the AL significantly increased instability over the full range of motion. AL reconstruction with the SHBT restored the stability of the proximal radius but-other than the native AL-was not influenced by elbow flexion. In 120° of flexion the native AL provided significantly more stability when compared to the reconstructed AL. Cyclic loading did not provide significant differences between native and reconstructed specimens.CONCLUSIONS: We provide a feasible technique for AL reconstruction using the SHBT. The biomechanical results obtained in this study confirm the efficacy of the procedure. AL reconstruction restores the stability of the proximal radius, yet it cannot fully mimic the complex features of the intact AL.

AB - PURPOSE: The purpose of this study was to perform biomechanical testing of annular ligament (AL) reconstruction using the superficial head of the brachialis tendon (SHBT) as a distally based tendon graft. We hypothesized that posterior translation of the radial head following AL reconstruction with an SHBT graft does not significantly differ from intact specimens.METHODS: Six fresh-frozen elbow specimens were used. The stability of the radial head against posterior translation forces (30 N) was evaluated in 0°, 45°, 90° and 120° of elbow flexion. Posterior translation was obtained for the intact AL, the sectioned AL and the reconstructed AL. Cyclic loading (100 cycles) in 90° of elbow flexion was performed for the intact and the reconstructed AL.RESULTS: Posterior translation of the radial head decreased during elbow flexion in native specimens. Sectioning of the AL significantly increased instability over the full range of motion. AL reconstruction with the SHBT restored the stability of the proximal radius but-other than the native AL-was not influenced by elbow flexion. In 120° of flexion the native AL provided significantly more stability when compared to the reconstructed AL. Cyclic loading did not provide significant differences between native and reconstructed specimens.CONCLUSIONS: We provide a feasible technique for AL reconstruction using the SHBT. The biomechanical results obtained in this study confirm the efficacy of the procedure. AL reconstruction restores the stability of the proximal radius, yet it cannot fully mimic the complex features of the intact AL.

KW - Aged

KW - Aged, 80 and over

KW - Biomechanical Phenomena

KW - Cadaver

KW - Elbow/anatomy & histology

KW - Humans

KW - Ligaments, Articular/anatomy & histology

KW - Radius/anatomy & histology

KW - Range of Motion, Articular/physiology

KW - Reconstructive Surgical Procedures

KW - Tendons/anatomy & histology

U2 - 10.1007/s00276-016-1774-y

DO - 10.1007/s00276-016-1774-y

M3 - SCORING: Journal article

C2 - 27822697

VL - 39

SP - 585

EP - 591

JO - SURG RADIOL ANAT

JF - SURG RADIOL ANAT

SN - 0930-1038

IS - 6

ER -