ArticleArchives of orthopaedic and trauma surgery2022
LUCL reconstruction of the elbow: clinical midterm results based on the underlying pathogenesis.
Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 15 citations in OpenAlex.
- Anatomic feasibility of using Shark Screw tendon for humeral ligament re-construction in medial and posterolateral elbow instability.JSES international · 2026Article
- Surgical management of posterolateral rotatory instability of the elbow with associated posterior capitellar lesions: a retrospective case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Development and Validation of the Elbow Instability-Return to Sport After Injury (EI-RSI) Scale: Assessing Psychological Readiness for Return to Sport.Orthopaedic journal of sports medicine · 2026Article
- Arthroscopic Lateral Collateral Ligament Reconstruction With Tendon Graft in High-Grade Atraumatic Posterolateral Rotatory Instability in Elbows.Arthroscopy techniques · 2026Article
- Review
- Surgical revision after previous failed lateral ulnar collateral ligament (LUCL) reconstruction and persisting posterolateral rotatory instability (PLRI) of the Elbow: a retrospective multicentric analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 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
- Arthroscopic-Assisted Lateral Ulnar Collateral Ligament Reconstruction for Posterolateral Rotatory Instability of the Elbow: A Technical Note.Arthroscopy techniques · 2024Article
- Fascia lata allograft: a suitable alternative in ligamentous reconstruction for chronic elbow instability?JSES international · 2024Article
- Preoperative and operative risk factors for failed lateral collateral ligament reconstruction.JSES international · 2023Article
- Lateral Ulnar Collateral Ligament Reconstruction for Posterolateral Rotatory Instability After Failed Common Extensor Origin Release: Outcomes at Minimum 2-Year Follow-up.Orthopaedic journal of sports medicine · 2022Article
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Authors and funding
8 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTraumatic and atraumatic insufficiency of the lateral ulnar collateral ligament (LUCL) can cause posterolateral rotatory instability (PLRI) of the elbow. The influence of the underlying pathogenesis on functional outcomes remains unknown so far. The objective of this study was to determine the impact of the initial pathogenesis of PLRI on clinical outcomes after LUCL reconstruction using an ipsilateral triceps tendon autograft.
methodsThirty-six patients were reviewed in this retrospective study. Depending on the pathogenesis patients were assigned to either group EPI (atraumatic, secondary LUCL insufficiency due to chronic epicondylopathia) or group TRAUMA (traumatic LUCL lesion). Range-of-motion (ROM) and posterolateral joint stability were evaluated preoperatively and at follow-up survey. For clinical assessment, the Mayo elbow performance (MEPS) score was used. Patient-reported outcomes (PROs) consisting of visual analogue scale (VAS) for pain, disability of arm, shoulder and hand (DASH) score, patient-rated elbow evaluation (PREE) score and subjective elbow evaluation (SEV) as well as complications were analyzed.
resultsThirty-one patients (group EPI, n = 17; group TRAUMA, n = 14), 13 men and 18 women with a mean age of 42.9 ± 11.0 were available for follow-up evaluation (57.7 ± 17.5 months). In 93.5%, posterolateral elbow stability was restored (n = 2 with re-instability, both group TRAUMA). No differences were seen between groups in relation to ROM. Even though group EPI (98.9 ± 3.7 points) showed better results than group TRAUMA (91.1 ± 12.6 points) (p = 0.034) according to MEPS, no differences were found for evaluated PROs (group A: VAS 1 ± 1.8, PREE 9.3 ± 15.7, DASH 7.7 ± 11.9, SEV 92.9 ± 8.3 vs. group B: VAS 1.9 ± 3.2, PREE 22.4 ± 26.1, DASH 16.0 ± 19.4, SEV 87.9 ± 15.4. 12.9% of patients required revision surgery.
conclusionLUCL reconstruction using a triceps tendon autograft for the treatment of PLRI provides good to excellent clinical outcomes regardless of the underlying pathogenesis (traumatic vs. atraumatic). However, in the present case series, posterolateral re-instability tends to be higher for traumatic PLRI and patient-reported outcomes showed inferior results. LEVEL OF EVIDENCE: Therapeutic study, LEVEL III.
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