Clinical Outcomes of Lateral Ulnar Collateral Ligament Repair of the Elbow Using a Cortical Button

Connor Zale, H. Mike Kim

Research output: Contribution to journalArticle

Abstract

The purpose of this retrospective case series was to report a new surgical technique for lateral ulnar collateral ligament (LUCL) repair using a cortical button and the clinical results. Twenty patients underwent a LUCL repair using a cortical button at a single institution were included for evaluation of the demographic, radiologic, and clinical examination data. Nine patients returned for a separate study visit for further clinical examination and outcome surveys. Eighteen patients (mean age: 48 y, 10 males) received at least 1 additional procedure other than a LUCL repair. For the 9 patients who returned for a study visit (average follow-up: 27 mo), the mean QuickDASH score was 22.4 and the mean Mayo Elbow Performance Score 90. Six patients reported no pain, 1 moderate, and 2 mild. All 9 patients were satisfied. Average flexion-extension and supination-pronation arc of motion was 91% and 89% of the contralateral elbow, respectively. LUCL repair using a cortical button resulted in satisfactory clinical outcomes and can be a viable surgical option in acute elbow instability, especially in elderly patients with osteopenic bone.

Original languageEnglish (US)
Pages (from-to)109-115
Number of pages7
JournalTechniques in Shoulder and Elbow Surgery
Volume20
Issue number4
DOIs
StatePublished - Dec 1 2019

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Ankle Lateral Ligament
Elbow
Pronation
Supination
Ulnar Collateral Ligament
Demography
Bone and Bones
Pain

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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abstract = "The purpose of this retrospective case series was to report a new surgical technique for lateral ulnar collateral ligament (LUCL) repair using a cortical button and the clinical results. Twenty patients underwent a LUCL repair using a cortical button at a single institution were included for evaluation of the demographic, radiologic, and clinical examination data. Nine patients returned for a separate study visit for further clinical examination and outcome surveys. Eighteen patients (mean age: 48 y, 10 males) received at least 1 additional procedure other than a LUCL repair. For the 9 patients who returned for a study visit (average follow-up: 27 mo), the mean QuickDASH score was 22.4 and the mean Mayo Elbow Performance Score 90. Six patients reported no pain, 1 moderate, and 2 mild. All 9 patients were satisfied. Average flexion-extension and supination-pronation arc of motion was 91{\%} and 89{\%} of the contralateral elbow, respectively. LUCL repair using a cortical button resulted in satisfactory clinical outcomes and can be a viable surgical option in acute elbow instability, especially in elderly patients with osteopenic bone.",
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Clinical Outcomes of Lateral Ulnar Collateral Ligament Repair of the Elbow Using a Cortical Button. / Zale, Connor; Kim, H. Mike.

In: Techniques in Shoulder and Elbow Surgery, Vol. 20, No. 4, 01.12.2019, p. 109-115.

Research output: Contribution to journalArticle

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