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Ulnar collateral ligament reconstruction in posttraumatic elbow release.

Kevin J Malone¹, Paul A Martineau, Douglas P Hanel

¹Department of Orthopaedic Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA. malonekj@yahoo.com

|February 8, 2012

Summary

Ulnar collateral ligament reconstruction in posttraumatic elbow contracture release did not affect range of motion (ROM) or stability. Early motion and ligament reconstruction are safe after elbow capsulectomy, preserving ROM gains.

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Area of Science:

Orthopedic Surgery
Sports Medicine
Elbow Reconstruction

Background:

Posttraumatic elbow contractures often require surgical release.
Ulnar collateral ligament (UCL) integrity is crucial for elbow stability.
The impact of simultaneous UCL reconstruction during contracture release on range of motion (ROM) is not well-defined.

Purpose of the Study:

To evaluate the effect of ulnar collateral ligament reconstruction on postoperative ROM after posttraumatic elbow contracture release.
To compare ROM and stability outcomes between patients with and without simultaneous UCL reconstruction.

Main Methods:

Retrospective cohort comparison study of 24 patients undergoing elbow arthrolysis.
Group 1: 6 patients with simultaneous UCL excision and reconstruction.

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Group 2: 18 patients without UCL reconstruction. All followed identical rehabilitation protocols with a minimum 12-month follow-up.

Main Results:

Final flexion/extension ROMs were comparable between the UCL reconstruction and non-reconstruction groups.
No patients reported subjective elbow instability postoperatively in either group.
Ligament reconstruction did not impede ROM gains achieved through arthrolysis.

Conclusions:

Simultaneous ulnar collateral ligament reconstruction can be safely performed with posttraumatic elbow contracture release.
This combined approach does not compromise ROM gains or elbow stability.
Early postoperative motion is feasible and safe in conjunction with ligament reconstruction following elbow capsulectomy.