ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Repair and augmentation of the lateral collateral ligament complex using internal bracing in dislocations and fracture dislocations of the elbow restores stability and allows early rehabilitation.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Treatment strategies for simple elbow dislocation - a systematic review.BMC musculoskeletal disorders · 2024Pooled it
- Radial head replacement with intact lateral ulnar collateral ligament vs. repair and augmentation using nonabsorbable tape and anchors: a pragmatic comparative study.JSES international · 2026Article
- Elbow collateral ligament repairs with suture anchors after acute complex elbow dislocations have favorable outcomes; clinical results at a mean follow-up of eight years, a stress radiography-based study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Augmented Tendon Repair with Internal Bracing: Surgical Technique.Journal of clinical medicine · 2025Article
- Perspectives on Ligament Augmentation Techniques Among AOFAS Members: A Cross-Sectional Survey.Foot & ankle orthopaedics · 2025Article
- Surgical Outcomes of Lateral Ulnar Collateral Ligament Reconstruction Versus Repair for Posterolateral Rotatory Instability of the Elbow: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2025Article
- Internal brace augmentation in elbow varus posteromedial rotatory instability (VPMRI) allows early rehabilitation and prevents stiffness.Archives of orthopaedic and trauma surgery · 2024Article
- Clinical and biomechanical outcomes following patellar tendon repair with suture tape augmentation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Acute elbow dislocation: a critical appraisal of the literature.JSES international · 2023Review
- Improved Understanding of Traumatic Complex Elbow Instability.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- [Elbow joint dislocation : Frequent concomitant injuries and current treatment concepts].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- Locking suture repair versus ligament augmentation-a biomechanical study regarding the treatment of acute lateral collateral ligament injuries of the elbow.Archives of orthopaedic and trauma surgery · 2023Article
- [Augmented primary sutures "internal bracing" following ligamentous elbow dislocation].Operative Orthopadie und Traumatologie · 2023Article
- Prospective clinical results of an additive ligament bracing for stabilizing simple and complex elbow instabilities.Archives of orthopaedic and trauma surgery · 2022Article
- Learning Curve Associated With Operative Treatment of Terrible Triad Elbow Fracture Dislocations.Cureus · 2022Article
- Early functional mobilization for non-operative treatment of simple elbow dislocations: a systematic review.Shoulder & elbow · 2022Review
- Suture Tape Augmentation in Lateral Ankle Ligament Surgery: Current Concepts Review.Foot & ankle orthopaedics · 2021Review
- Suture tape augmentation of the lateral ulnar collateral ligament increases load to failure in simulated posterolateral rotatory instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Utilization of Internal Bracing in Elbow Medial UCL Stabilization: From Biomechanics to Clinical Application and Patient Outcomes.Orthopedic research and reviews · 2021Review
- Repair of Acute Patellar Tendon Rupture Using an Internal Brace Technique.Case reports in orthopedics · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMost elbow dislocations can be treated conservatively, with surgery indicated in special circumstances. Surgical options, apart from fracture fixation, range from repair or reconstruction of the damaged ligaments to static external fixation, usually entailing either a long period of immobilization followed by carefully monitored initiation of movement or dynamic external fixation. In general, no consensus regarding surgical treatment has been reached. A new method of open ligament repair and augmentation of the lateral ulnar collateral ligament using a non-absorbable suture tape in cases of acute and subacute elbow instability following dislocations has been described here, which allows an early, brace-free initiation of the full range of motion. This is the first description of the technique of internal bracing of the lateral elbow with preliminary patient outcome parameters for acute treatment of posterolateral rotatory instability.
methodsSeventeen patients (14 males and 3 females) with acute or subacute posterolateral elbow instability as a result of dislocation or fracture dislocation were treated in our centre (Sporthopaedicum, Straubing, Regensburg, Germany) from 2014 to 2015 with open LUCL re-fixation and non-absorbable suture tape augmentation. The elbows were actively mobilized immediately after the operation and a maximum bracing period of 3 days.
resultsAt 10 month median follow-up, none of the patients showed clinically apparent signs of instability or suffered subluxation or re-dislocation. One patient required re-operation for heterotopic ossification. The median range of motion was from 10° (0-40) to 130° (90-50) and median Oxford, Mayo Elbow Performance score, Simple Elbow Value, and DASH Scores were 41(29-48), 100 (70-100), 83% (60-95), and 18.5 (1.6-66), respectively. All patients reported a complete return to pre-injury level of activity.
conclusionAugmentation with a non-absorbable suture tape acting as an 'Internal Brace' following an elbow dislocation is a safe adjunct to primary ligament repair and may allow the early mobilization and recovery of elbow stability and range of motion. LEVEL OF EVIDENCE: IV.
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