Suture Button Repair for Lateral Ulnar Collateral Ligament in Terrible Triad Injuries: Surgical Technique.
| Autor: | Tedesco LJ; Columbia University Medical Center, New York, New York, U.S.A., Noback PC; Columbia University Medical Center, New York, New York, U.S.A., Paskey TL; Columbia University Medical Center, New York, New York, U.S.A., Konigsberg M; Columbia University Medical Center, New York, New York, U.S.A., Kadiyala RK; Columbia University Medical Center, New York, New York, U.S.A. |
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| Jazyk: | angličtina |
| Zdroj: | Arthroscopy techniques [Arthrosc Tech] 2024 Jan 20; Vol. 13 (2), pp. 102861. Date of Electronic Publication: 2024 Jan 20 (Print Publication: 2024). |
| DOI: | 10.1016/j.eats.2023.10.004 |
| Abstrakt: | Terrible triad injuries are typically treated surgically to restore elbow stability, as the radial head acts as a secondary stabilizer to valgus stress, while the coronoid provides stability against posterior elbow dislocations. The lateral ulnar collateral ligament (LUCL) is also commonly injured in terrible triad of the elbow injuries, and if not repaired, leads to posterolateral rotatory instability. Depending on the fracture pattern and size, the radial head fracture may be treated with open reduction internal fixation (ORIF), arthroplasty, or excision, whereas the coronoid fracture is most commonly treated with ORIF. If treated, these injuries are managed prior to LUCL fixation to avoid stressing the LUCL repair. We describe a technique for treatment of a LUCL injury with a suture button. When repairing the LUCL, a Kocher approach is used to visualize the LUCL footprint, which is then reattached to the insertion point on the lateral epicondyle using a suture button. The purpose of this study was to provide a step-by-step approach to using this surgical technique and an associated postoperative protocol. (© 2023 The Authors.) |
| Databáze: | MEDLINE |
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