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Techniques for Lateral Ulnar Collateral Ligament Reconstruction with Internal Joint Stabilizer for Recurrent
Alex Han1, Igor Immerman2, Nicolas Lee2
1Houston Methodist Orthopedics and Sports Medicine, Houston, Texas.
Case:
Two patients with recurrent posterolateral rotatory instability, treated with internal joint stabilizer (IJS) and lateral ulnar collateral ligament (LUCL) reconstruction using 2 different techniques, with complication-free survival more than 2 and 3 years postoperatively.
Conclusion:
Reconstruction can be supplemented with IJS which aids in keeping the elbow concentrically reduced throughout arc of motion. There is no consensus on the optimal location of the LUCL graft proximally on the distal humerus when the axis of rotation is occupied by the IJS central pin. This case series describes techniques to reconstruct the LUCL as close to the isometric point as possible with IJS placement.
