|
|
|
|
| LEADER |
01000naa a22002652 4500 |
| 001 |
NLM310706246 |
| 003 |
DE-627 |
| 005 |
20231225140652.0 |
| 007 |
cr uuu---uuuuu |
| 008 |
231225s2020 xx |||||o 00| ||eng c |
| 024 |
7 |
|
|a 10.1016/j.jseint.2020.01.011
|2 doi
|
| 028 |
5 |
2 |
|a pubmed24n1035.xml
|
| 035 |
|
|
|a (DE-627)NLM310706246
|
| 035 |
|
|
|a (NLM)32490406
|
| 040 |
|
|
|a DE-627
|b ger
|c DE-627
|e rakwb
|
| 041 |
|
|
|a eng
|
| 100 |
1 |
|
|a Melbourne, Craig
|e verfasserin
|4 aut
|
| 245 |
1 |
0 |
|a Biomechanical assessment of lateral ulnar collateral ligament repair and reconstruction with or without internal brace augmentation
|
| 264 |
|
1 |
|c 2020
|
| 336 |
|
|
|a Text
|b txt
|2 rdacontent
|
| 337 |
|
|
|a ƒaComputermedien
|b c
|2 rdamedia
|
| 338 |
|
|
|a ƒa Online-Ressource
|b cr
|2 rdacarrier
|
| 500 |
|
|
|a Date Revised 14.04.2022
|
| 500 |
|
|
|a published: Electronic-eCollection
|
| 500 |
|
|
|a Citation Status PubMed-not-MEDLINE
|
| 520 |
|
|
|a © 2020 The Authors.
|
| 520 |
|
|
|a BACKGROUND: Surgical treatment of posterolateral rotatory instability (PLRI) using primary repair or reconstruction of the lateral collateral ligament complex have proven inconsistent. This study aimed to test the hypothesis that augmentation of LUCL repair or palmaris longus tendon reconstruction using a suture tape augmentation would be associated with less rotational displacement and greater torque load to failure (LTF) compared with nonaugmented constructs
|
| 520 |
|
|
|a METHODS: Cadaveric elbows (n = 12 matched pairs) were used. Baseline stiffness and displacement values were obtained. The LUCL was transected followed by repair alone, repair with augmentation, reconstruction with palmaris longus graft, or reconstruction with augmentation. Specimens were retested including torque LTF. Paired t tests were performed to assess the biomechanical effects of augmentation
|
| 520 |
|
|
|a RESULTS: Augmentation was associated with higher LTF than repair and reconstruction alone (P = .008 and .047, respectively). Displacement was less with augmentation in reconstruction groups (P = .048) but not in repair groups. Suture tape augmentation maintained rotational stiffness better than repair alone (P = .01). Although reconstruction with augmentation maintained rotational stiffness better than nonaugmented reconstruction, the differences were not statistically significant (P = .057). Mode of failure for repair alone was predominantly suture pulling through repaired ligament. Augmented repairs primarily failed at the anchor-bone interface. Modes of failure for both reconstruction groups were similar, including graft tearing and/or slipping at the anchor
|
| 520 |
|
|
|a CONCLUSION: When positioned in neutral forearm rotation and 90o of flexion to simulate postoperative conditions, augmentation of LUCL repair or tendon reconstruction using suture tape is associated with better resistance to rotational loads compared with nonaugmented repair or reconstruction, while maintaining near-native rotational stiffness
|
| 650 |
|
4 |
|a Journal Article
|
| 650 |
|
4 |
|a Elbow
|
| 650 |
|
4 |
|a internal brace
|
| 650 |
|
4 |
|a lateral ulnar collateral ligament
|
| 650 |
|
4 |
|a posterolateral rotatory instability
|
| 650 |
|
4 |
|a suture tape augmentation
|
| 650 |
|
4 |
|a tendon reconstruction
|
| 700 |
1 |
|
|a Cook, James L
|e verfasserin
|4 aut
|
| 700 |
1 |
|
|a Della Rocca, Gregory J
|e verfasserin
|4 aut
|
| 700 |
1 |
|
|a Loftis, Christopher
|e verfasserin
|4 aut
|
| 700 |
1 |
|
|a Konicek, John
|e verfasserin
|4 aut
|
| 700 |
1 |
|
|a Smith, Matthew J
|e verfasserin
|4 aut
|
| 773 |
0 |
8 |
|i Enthalten in
|t JSES international
|d 2020
|g 4(2020), 2 vom: 01. Juni, Seite 224-230
|w (DE-627)NLM307818438
|x 2666-6383
|7 nnns
|
| 773 |
1 |
8 |
|g volume:4
|g year:2020
|g number:2
|g day:01
|g month:06
|g pages:224-230
|
| 856 |
4 |
0 |
|u http://dx.doi.org/10.1016/j.jseint.2020.01.011
|3 Volltext
|
| 912 |
|
|
|a GBV_USEFLAG_A
|
| 912 |
|
|
|a SYSFLAG_A
|
| 912 |
|
|
|a GBV_NLM
|
| 912 |
|
|
|a GBV_ILN_50
|
| 912 |
|
|
|a GBV_ILN_65
|
| 912 |
|
|
|a GBV_ILN_350
|
| 951 |
|
|
|a AR
|
| 952 |
|
|
|d 4
|j 2020
|e 2
|b 01
|c 06
|h 224-230
|