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· DOS Abstracts
Long-term clinical results of patients treated
for posterolateral elbow joint instability using an
ipsilateral triceps tendon graft.
Christian Kastenskov, Jeppe Vejlgaard Rasmussen , Janne Ovesen, Bo Sanderhoff
Olsen
Ortopædisk afdeling, Herlev hospital; Ortopædisk afdeling, Herlev hospital;
Ortopædisk afdeling, Århus hospital; Ortopædisk afdeling, Herlev hospital
Background:
Recurrent Posterolateral Elbow Instability (PLI) is the most com-
mon type of chronic elbow joint instability. Recurrent elbow dislocations is
caused by insufficiency of the lateral ligaments. Different surgical procedures
has been described to reconstruct the LCL. The studies reports almost the same
results. None of the studies have a mean follow up time more than 6 years.
Purpose / Aim of Study:
The aim of the present study was to report the long-
term clinical outcome following surgical LCL reconstruction.
Materials and Methods:
We included 18 consecutive patients prior treated
for posterolateral elbow instability in the period 1993- 1999 and prior in 2003
evaluated for clinical result. 12 of 18 patients were reexamined in 2015 at a
clinical follow-up. The mean follow-up of 230 months. We performed the clini-
cal follow-up with clinical examination of stability, ROM, Pain VAS score, Mayo
elbow performance score, functional elbow score and Danish version of Oxford
elbow score. Furthermore a conventional x-ray of the elbow was performed to
evaluate osteoarthritis.
Findings / Results:
None of the patients reported pain during rest. During ac-
tivity the patients had a VAS mean of 2,8. Few patients had a reduction in ROM.
All the patients had a stable elbow. 2 patients had apprehension to the pivot-
shift stress test. None had apprehension during ”chair stand up” test. Functional
elbow score gave unchanged results. The mean Mayo elbow score was 86 ( 9
point decrease). The mean Oxford Elbow score was 45 (“satisfying elbow func-
tion”). Osteoarthritis was seen on X-ray in 41%.
Conclusions:
In conclusion we observed a high percentage of patients with
radiographic arthrosis but without clinical symptoms. The results reported in
2003 seem durable over time. The technique reported by Olsen & Søjbjerg in
2003 gives good long-term results.
No conflicts of interest reported
153.