Work

Arthroscopic Modified Elbow Lateral Collateral Ligament Imbrication: An Operative Technique

Year: 2023

Type: article

Abstract: When the lateral collateral ligament (LCL) complex fails to support the radiocapitellar and ulnohumeral joints in advanced stages of insufficiency, the patient experiences posterolateral rotatory instability (PLRI). Open lateral ulnar collateral ligament repair with a ligamentous graft has been the standard treatment for PLRI. Despite producing good clinical stability rates, this method is associated with significant lateral soft-tissue dissection and a lengthy recovery period. By fastening the LCL to its humeral insertion, arthroscopic imbrication of the LCL can increase stability. The senior author modified this technique. With the aid of a passer, the LCL complex, lateral capsule, and anconeus may be weaved with a single (doubled) suture, secured with a Nice knot. LCL complex imbrication may be used to restore stability and improve pain and function in patients with grade I and II PLRI.

Source: Arthroscopy Techniques

DOI: 10.1016/j.eats.2023.01.009

Authors: Nikolaos Platon Sachinis, Christos K. Yiannakopoulos, Knut Beitzel, Christos Koukos

Institutions: Aristotle University of Thessaloniki, G. Papanikolaou General Hospital, National and Kapodistrian University of Athens, IASO General Hospital, Helios Universitätsklinikum Wuppertal

Language: English

Topic: Elbow and Forearm Trauma Treatment

Subfield: Rehabilitation

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $975