Arthroscopic Lateral Ulnar Collateral Ligament Plication/Reconstruction With Augmented Lateral Collateral Ligament...

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Arthroscopy

Background:

• Posterolateral rotatory instability (PLRI) is a debilitating elbow condition often requiring surgical intervention.
• Traditional open lateral ulnar collateral ligament (LUCL) reconstruction leads to significant tissue disruption and prolonged recovery.
• Arthroscopic techniques offer a less invasive alternative for elbow instability.

Purpose of the Study:

• To present an algorithm-driven, arthroscopically assisted technique for managing PLRI.
• To detail a minimally invasive surgical approach for LUCL repair and imbrication.
• To evaluate the efficacy of arthroscopic treatment for elbow instability.

Main Methods:

• Utilized magnetic resonance imaging (MRI) to assess the common extensor origin.
• Employed arthroscopy for precise LUCL and lateral collateral ligament inspection.
• Performed anchor-based fixation and imbrication for ligament stabilization.

Main Results:

• The arthroscopic technique effectively stabilized the elbow in cases of grade 1 and 2 PLRI.
• Minimally invasive approach reduced soft-tissue damage and risk of motion restriction.
• Enabled rapid postoperative rehabilitation and quicker patient recovery.

Conclusions:

• Arthroscopically assisted LUCL plication and imbrication provide an effective, minimally invasive treatment for PLRI.
• This technique facilitates faster recovery and improved functional restoration for elbow instability.
• Requires advanced arthroscopic proficiency for optimal outcomes.