M Beck1, A Wichelhaus2, T Mittlmeier2. 1. Klinik für Orthopädie und Unfallchirurgie, St. Bernwardkrankenhaus Hildesheim, Treibestrassse 9, 31134, Hildesheim, Deutschland. pd.dr.m.beck@bernward-khs.de. 2. Abteilung für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Rostock, Deutschland.
Abstract
OBJECTIVE: Restoration of ulnar elbow stability in cases of posttraumatic and chronic ulnar ligament instability. INDICATIONS: Symptomatic therapy-resistant ulnar ligament instability of the elbow. CONTRAINDICATIONS: Arthrofibrosis and high-grade elbow arthrosis. SURGICAL TECHNIQUE: Anatomical reconstruction of the ulnar collateral ligament (UCL) with autologous tendon graft (tendons of the palmaris longus muscle and gracilis muscle) in implant-free docking technique. POSTOPERATIVE MANAGEMENT: A cast for 1 week, then 5 weeks orthesis with limitation of complete extension and flexion; full weight bearing after 3 months. RESULTS: After 2 years 90% of the patients are able to return at an equal level of activity. The overall complication rate is 10.4%. The most common complication is ulnar nerve neurapraxia in 7.8% of the patients.
OBJECTIVE: Restoration of ulnar elbow stability in cases of posttraumatic and chronic ulnar ligament instability. INDICATIONS: Symptomatic therapy-resistant ulnar ligament instability of the elbow. CONTRAINDICATIONS: Arthrofibrosis and high-grade elbow arthrosis. SURGICAL TECHNIQUE: Anatomical reconstruction of the ulnar collateral ligament (UCL) with autologous tendon graft (tendons of the palmaris longus muscle and gracilis muscle) in implant-free docking technique. POSTOPERATIVE MANAGEMENT: A cast for 1 week, then 5 weeks orthesis with limitation of complete extension and flexion; full weight bearing after 3 months. RESULTS: After 2 years 90% of the patients are able to return at an equal level of activity. The overall complication rate is 10.4%. The most common complication is ulnar nerve neurapraxia in 7.8% of the patients.
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