A Novel Surgical Reconstruction Technique in the Management of
Chronic Ulnar Collateral Ligament Tears with Volar Subluxation

demirel, mehmet; ayik, omer

doi:10.5152/eurasianjmed.2022.22024

A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation

Ömer AYIK, (Atatürk Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Mehmet DEMİREL (İstanbul Üniversitesi İstanbul Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Eurasian Journal of Medicine

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Yıl: 2022 Cilt: 54 Sayı: 2 Sayfa Aralığı: 191 - 196 Metin Dili: İngilizce DOI: 10.5152/eurasianjmed.2022.22024 İndeks Tarihi: 05-07-2022

A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation

Öz:

Background: We hypothesized that ulnar collateral ligament reconstruction is inadequate for metacarpophalangeal joint stabilization in chronic ulnar collateral ligament injuries with volar subluxation due to dorsal joint capsule injury. We consecutively performed both ulnar collateral ligament and dorsal joint capsule reconstruction to treat patients with a chronic ulnar collateral ligament tear with volar subluxation. This study aimed to present our preliminary results and experience with this technique in managing such cases. Materials and Methods: In this retrospective study, 7 patients (6 males, 1 female) who underwent surgical reconstruction of both ulnar collateral ligament and dorsal joint capsule reconstruction for the treatment of chronic ulnar collateral ligament injuries with volar subluxation were included. The mean age was 31 (range = 20-39) years, and the mean follow-up was 15.5 (range = 12-20) months. Several clinical and radiological data were recorded. Results: The mean Visual Analogue Scale score significantly improved from 5.7 (range = 5-8) to 0.57 (range = 0-1) (P < .001). The mean quick- Disabilities of the Arm, Shoulder and Hand was significantly improved from 31.8 (range = 27.3-38.6) preoperatively to 3.2 (range = 0-6.8) at the final follow-up (P < .001). The mean preoperative extension deficit decreased from 18.5° (range = 10°-25°) to 0° (range= 0°-0°) at the final follow-up (P = .022). The mean preoperative flexion deficit increased from 10.7° (range = 0°-20°) to 31.4° (range = 25°-35°) postoperatively (P = 0.034). The mean key-pinch strength significantly increased from 33.2% (range = 27-37) preoperatively to 10.2% (range = 6-14) at the final follow-up assessment (P < .001). The mean hand grip strength significantly increased from 18.8% (range = 15-23) preoperatively to 6.4% (range = 6-14) at the final follow-up assessment (P < .001). Conclusion: With encouraging short-term clinical outcomes and a lower complication rate, surgical reconstruction of both ulnar collateral ligament and dorsal joint capsule seems to be a safe and effective surgical technique in the management of chronic ulnar collateral ligament tears with volar subluxation.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ayik o, demirel m (2022). A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation. , 191 - 196. 10.5152/eurasianjmed.2022.22024
Chicago	ayik omer,demirel mehmet A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation. (2022): 191 - 196. 10.5152/eurasianjmed.2022.22024
MLA	ayik omer,demirel mehmet A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation. , 2022, ss.191 - 196. 10.5152/eurasianjmed.2022.22024
AMA	ayik o,demirel m A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation. . 2022; 191 - 196. 10.5152/eurasianjmed.2022.22024
Vancouver	ayik o,demirel m A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation. . 2022; 191 - 196. 10.5152/eurasianjmed.2022.22024
IEEE	ayik o,demirel m "A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation." , ss.191 - 196, 2022. 10.5152/eurasianjmed.2022.22024
ISNAD	ayik, omer - demirel, mehmet. "A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation". (2022), 191-196. https://doi.org/10.5152/eurasianjmed.2022.22024

APA	ayik o, demirel m (2022). A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation. Eurasian Journal of Medicine, 54(2), 191 - 196. 10.5152/eurasianjmed.2022.22024
Chicago	ayik omer,demirel mehmet A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation. Eurasian Journal of Medicine 54, no.2 (2022): 191 - 196. 10.5152/eurasianjmed.2022.22024
MLA	ayik omer,demirel mehmet A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation. Eurasian Journal of Medicine, vol.54, no.2, 2022, ss.191 - 196. 10.5152/eurasianjmed.2022.22024
AMA	ayik o,demirel m A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation. Eurasian Journal of Medicine. 2022; 54(2): 191 - 196. 10.5152/eurasianjmed.2022.22024
Vancouver	ayik o,demirel m A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation. Eurasian Journal of Medicine. 2022; 54(2): 191 - 196. 10.5152/eurasianjmed.2022.22024
IEEE	ayik o,demirel m "A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation." Eurasian Journal of Medicine, 54, ss.191 - 196, 2022. 10.5152/eurasianjmed.2022.22024
ISNAD	ayik, omer - demirel, mehmet. "A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation". Eurasian Journal of Medicine 54/2 (2022), 191-196. https://doi.org/10.5152/eurasianjmed.2022.22024