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Review
. 2018 Feb;30(1):64-70.
doi: 10.1007/s00064-017-0523-7. Epub 2017 Nov 20.

[Ulnar collateral ligament reconstruction of the elbow in posttraumatic and chronic ligament instability]

[Article in German]
M Beck  1 , A Wichelhaus  2 , T Mittlmeier  2
Affiliations
Review

[Ulnar collateral ligament reconstruction of the elbow in posttraumatic and chronic ligament instability]

[Article in German]
M Beck et al. Oper Orthop Traumatol. 2018 Feb.

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.

Keywords: Autologous transplants; Elbow joint; Joint instability; Medial ulnar collateral ligament reconstruction; Ulnar collateral ligament surgery.

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