INTRODUCTION: The circumferential graft technique1,2 represents a potential option for the treatment of multidirectional ligamentous elbow instability using a single tendon graft (Video 1). STEP 1 PERFORM A MEDIAL AND LATERAL APPROACH: Approach the elbow joint through either a single posterior skin incision or separate lateral and medial incisions. STEP 2 DRILL THE BONE TUNNELS: Create humeral and ulnar bone tunnels for circumferential graft placement. STEP 3 PLACE THE GRAFT: Use a plantaris allograft, which we recommend; however, a semitendinosus autograft may also be used. STEP 4 CLOSE THE WOUND: Ensure that meticulous wound closure is achieved as it is key to preventing postoperative complications such as superficial or deep infection and persistent seroma. RESULTS: As multidirectional instability represents a rather rare complication following ligamentous elbow dislocation, clinical data regarding the circumferential graft technique are scarce1,2.
INTRODUCTION: The circumferential graft technique1,2 represents a potential option for the treatment of multidirectional ligamentous elbow instability using a single tendon graft (Video 1). STEP 1 PERFORM A MEDIAL AND LATERAL APPROACH: Approach the elbow joint through either a single posterior skin incision or separate lateral and medial incisions. STEP 2 DRILL THE BONE TUNNELS: Create humeral and ulnar bone tunnels for circumferential graft placement. STEP 3 PLACE THE GRAFT: Use a plantaris allograft, which we recommend; however, a semitendinosus autograft may also be used. STEP 4 CLOSE THE WOUND: Ensure that meticulous wound closure is achieved as it is key to preventing postoperative complications such as superficial or deep infection and persistent seroma. RESULTS: As multidirectional instability represents a rather rare complication following ligamentous elbow dislocation, clinical data regarding the circumferential graft technique are scarce1,2.
Authors: Michael Hackl; Nicolai Heinze; Kilian Wegmann; Sebastian Lappen; Tim Leschinger; Klaus Josef Burkhart; Martin Scaal; Lars Peter Müller Journal: J Shoulder Elbow Surg Date: 2015-09-03 Impact factor: 3.019
Authors: Michael Hackl; Frank Beyer; Kilian Wegmann; Tim Leschinger; Klaus Josef Burkhart; Lars Peter Müller Journal: Dtsch Arztebl Int Date: 2015-05-01 Impact factor: 5.594