Publication:
Posterolateral elbow dislocation: an all-arthroscopic reconstruction of the lateral ulnar collateral ligament

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Date
2024-11-15
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Authors
Martínez Martínez, Francisco ; Martínez García, Celia ; García López, Antonio ; Vallés Andreu, Moises ; Calvo Guirado, José Luis ; Simón Pérez, Clarisa
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Publisher
Elsevier
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DOI
https://doi.org/10.1016/j.eats.2024.103096
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Description
© 2024 The Authors. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the Published Manuscript version of a Published Work that appeared in final form in Arthroscopy Techniques. To access the final edited and published work see https://doi.org/10.1016/j.eats.2024.103096
Abstract
The elbow is one of the most commonly dislocated joints. Although simple dislocations of the elbow usually resolve with conservative management, certain patients can experience residual chronic instability. Posterolateral rotational instability accounts for approximately 80% of elbow chronic instability cases. We propose an all-arthroscopic reconstruction of the posterior, or ulnar, fascicle of the lateral ligament complex using an autograft or allograft, performed with a 5-mm-thick and 8-cm-long graft. The graft is first inserted distally into the supinator crest with an Arthrex 4.75-mm SwiveLock implant and, finally, at its origin in the epicondyle, also with a screw of the same characteristics. Arthroscopic techniques create fewer complications. This procedure allows the surgeon to address intra-articular elbow joint pathology with less chance of wound complications and the ability to use bone anchors if desired.
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Citation
Arthroscopy Techniques, 2024, Vol. 13, Issue 11 : 103096
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