Evidence map›Paper›PMID 42829365›Full record

ArticleArchives of orthopaedic and trauma surgery2026

Partial triceps tendon transfer for dynamic stabilization in posterolateral rotatory instability of the elbow: a biomechanical study.

Christoph-Johannes Pucher, Fabian Lanzerath, Stephanie Lucina Kahmann, Michael Hackl, Lars Peter Müller, Tim Leschinger

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Article in Archives of orthopaedic and trauma surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Christoph-Johannes PucherCentre of Orthopaedic and Trauma Surgery, University Medical Centre Mannheim, Mannheim, Germany. christoph.pucher@umm.de.ORCID https://orcid.org/0000-0002-7389-379X
Fabian LanzerathCentre of Orthopaedic and Trauma Surgery, University Hospital Cologne, Cologne, Germany.
Stephanie Lucina KahmannCentre of Orthopaedic and Trauma Surgery, University Hospital Cologne, Cologne, Germany.
Michael HacklCentre of Orthopaedic and Trauma Surgery, University Medical Centre Mannheim, Mannheim, Germany.
Lars Peter MüllerCentre of Orthopaedic and Trauma Surgery, University Hospital Cologne, Cologne, Germany.
Tim LeschingerCentre of Orthopaedic and Trauma Surgery, University Hospital Cologne, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePosterolateral rotatory instability (PLRI) of the elbow results from lateral collateral ligament complex (LCLC) insufficiency. In the setting of failed conventional ligament reconstruction, no established salvage procedure is available. This study biomechanically evaluated partial triceps tendon transfer to the supinator crest as a dynamic stabilization concept for PLRI.

methodsNine fresh-frozen human elbow specimens underwent cyclic external rotational loading of 0.5 Nm. Specimens were tested sequentially in the native state, an LCLC/common extensor origin-deficient unstable state, after transosseous LCLC repair, and after partial triceps tendon transfer to the supinator crest with the LCLC detached. Testing was performed under combined biceps/triceps loading conditions with external forearm rotation relative to the humerus as the primary outcome. A two-factor repeated-measures analysis of variance (RM-ANOVA) compared unstable, repaired, and tendon-transfer conditions across loading conditions. The native state was assessed unloaded and reported separately in a one-factor RM-ANOVA.

resultsIntervention significantly affected external rotation (F(2,16) = 33.31, p < 0.001, η

conclusionPartial triceps tendon transfer improved dynamic elbow stabilization and significantly reduced PLRI in a LCLC‑deficient in vitro model. However, it did not fully restore joint stability, supporting its role as a potential adjunct or salvage option rather than a primary procedure. The findings highlight the importance of dynamic muscle tension in lateral elbow stability, while the time‑zero, in vitro design limits direct clinical translation and warrants further in vivo investigations.

Indexed as

Elbow JointJoint InstabilityTendon TransferAgedBiomechanical PhenomenaCadaverCollateral LigamentsFemaleHumansMaleMiddle AgedRange of Motion, ArticularRotationBiomechanicsDynamic stabilizationElbow instabilityPosterolateral rotatory instabilityTriceps tendon transfer

Identifiers

PMID42829365
PMCPMC13633946

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.