AI Article Synopsis
- The study focuses on ulnar collateral ligament reconstruction using a twisting technique, which aims to enhance graft strength and improve post-surgery return-to-play rates for athletes.
- Results showed that the twisting technique led to a much higher success rate (98.3% excellent/good) and a quicker return-to-play period (9.8 months) compared to the traditional method (86.7% excellent/good and 11.4 months).
- The findings suggest that employing the twisting technique can significantly improve surgical outcomes, making it a preferable option for this type of reconstruction.
Article Abstract
Background: Although the ulnar collateral ligament reconstruction procedure has been increasing in popularity annually owing to its stable postoperative outcomes, the number of revision surgeries following ulnar collateral ligament reconstruction has increased. The success of the initial reconstruction surgery and further improvement in the return-to-play rates of the initial surgery are crucial. In this study, we report on ulnar collateral ligament reconstruction using the twisting technique, which aims to enhance the strength of the graft (palmaris longus tendon) to improve return-to-play rates.
Methods: We investigated the return-to-play rate and period in 60 cases (2016-2021) that underwent ulnar collateral ligament reconstruction using the twisting technique and 211 cases (2007-2019) that did not use the twisting technique. The twisting technique involved inserting the graft through the bone tunnel and then twisting the doubled tendon.
Results: According to the Conway-Jobe scale, the twisting technique group had 98.3% excellent, 1.7% good, 0% fair, and 0% poor results, with a mean return-to-play period of 9.8 months. The non-twisting technique group had 86.7% excellent, 9.0% good, 1.9% fair, and 2.4% poor results, with a mean return-to-play period of 11.4 months. The two groups showed significant differences in return-to-play rate ( = .020) and period ( = .022).
Conclusion: The clinical results of the twisting technique showed that the return-to-play rate of the twisting technique group was higher after than before the procedure, and the return-to-play period was shortened by more than 1 month. The twisting technique may improve the results of ulnar collateral ligament reconstruction surgery.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11064566 | PMC |
| http://dx.doi.org/10.1016/j.jseint.2023.12.003 | DOI Listing |
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