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A new technique for lateral ulnar collateral ligament reconstruction using the triceps tendon
Hyun Sik Gong1, Je Kyoon Kim, Joo Han Oh
1Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea.
Techniques in Hand & Upper Extremity Surgery
|March 12, 2009
Summary
This study presents a simplified single-strand reconstruction for chronic posterolateral elbow instability using a triceps tendon graft. The modified technique enhances ulnar fixation and avoids complications associated with traditional methods.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Reconstructive Surgery
Background:
- The lateral ulnar collateral ligament (LUCL) is crucial for elbow stability.
- Chronic posterolateral elbow instability often requires LUCL reconstruction.
- Existing techniques can be complex and carry risks.
Purpose of the Study:
- To introduce a modified single-strand LUCL reconstruction technique.
- To simplify the ulnar-side fixation of the LUCL graft.
- To reduce surgical complexity and potential complications.
Main Methods:
- A 10x1 cm triceps tendon graft is harvested through a posterolateral incision.
- The graft's distal attachment to the olecranon is preserved and reinforced.
- The graft is routed through the proximal ulna and secured to the lateral epicondyle.
Main Results:
- The modified technique simplifies ulnar fixation without bone anchors.
- It eliminates the need for a separate tendon harvest incision.
- The method avoids the risk of bone bridge fractures.
Conclusions:
- This modified single-strand LUCL reconstruction offers a simplified and potentially safer approach.
- The technique streamlines the surgical procedure for chronic posterolateral elbow instability.
- It presents a viable alternative for surgeons treating LUCL deficiency.