Iman Widya Aminata1, Toto Suryo Efar2, Anissa Feby Canintika3. 1. Department of Orthopaedics and Traumatology, Fatmawati General Hospital, Jakarta, Indonesia. 2. Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia. 3. Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Abstract
OBJECTIVES: Describing our initial experience of performing box-loop ligament reconstruction in patients with chronically unreduced elbow dislocation. DESIGN: Retrospective review. SETTING: One tertiary referral centre. PATIENTS/PARTICIPANTS: Six patients treated with box-loop ligament reconstruction from 2015 to 2018 were included in this study. INTERVENTION: Box-loop ligament reconstruction. MAIN OUTCOME MEASUREMENT: Quick disabilities of the arm, shoulder and hand (Q-DASH) and Mayo elbow performance index (MEPI) score. RESULTS: All subjects exhibited substantial increase of range of flexion-extension motion of the affected elbow, from a mean of 24.2° initially to 119.2° postoperatively during the follow-up period (median = 14 months, range 12-31 months). The subjects recorded an average MEPI score of 82.5 points, and average Q-DASH score of 16.2 points. There were no complications that occurred. CONCLUSIONS: This is the first case series of patients with chronically unreduced elbow dislocation treated with box-loop ligament reconstruction. Using this technique, all subjects had excellent outcome without any complication. Further studies with larger samples and better methodology are required to investigate the safety and efficacy of such technique.
OBJECTIVES: Describing our initial experience of performing box-loop ligament reconstruction in patients with chronically unreduced elbow dislocation. DESIGN: Retrospective review. SETTING: One tertiary referral centre. PATIENTS/PARTICIPANTS: Six patients treated with box-loop ligament reconstruction from 2015 to 2018 were included in this study. INTERVENTION: Box-loop ligament reconstruction. MAIN OUTCOME MEASUREMENT: Quick disabilities of the arm, shoulder and hand (Q-DASH) and Mayo elbow performance index (MEPI) score. RESULTS: All subjects exhibited substantial increase of range of flexion-extension motion of the affected elbow, from a mean of 24.2° initially to 119.2° postoperatively during the follow-up period (median = 14 months, range 12-31 months). The subjects recorded an average MEPI score of 82.5 points, and average Q-DASH score of 16.2 points. There were no complications that occurred. CONCLUSIONS: This is the first case series of patients with chronically unreduced elbow dislocation treated with box-loop ligament reconstruction. Using this technique, all subjects had excellent outcome without any complication. Further studies with larger samples and better methodology are required to investigate the safety and efficacy of such technique.
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: Noortje C Hagemeijer; Femke M A P Claessen; Roel de Haan; Roeland Riedijk; Denise E Eygendaal; Michel P van den Bekerom Journal: Am J Sports Med Date: 2017-03-17 Impact factor: 6.202
Authors: Duane R Anderson; Justin M Haller; Lucas A Anderson; Samuel Hailu; Abebe Chala; Shawn W OʼDriscoll Journal: J Orthop Trauma Date: 2018-04 Impact factor: 2.512
Authors: Gustavo Armando Tafoya-Arreguín; José Rene Castillo-González; Irydia-Guadalupe Pellegrini-Verduzco; José de Jesús Martínez-Ruíz; Rubén Daniel Esqueda-Godoy; Jorge Iván Arce-Rosas Journal: J Am Acad Orthop Surg Glob Res Rev Date: 2022-05-01