Ulnar collateral ligament reconstruction with gracilis tendon in athletes with intraligamentous bony excision: technique and results

The American Journal of Sports Medicine
Jeffrey R DugasJames R Andrews

Abstract

Ulnar collateral ligament (UCL) reconstruction is frequently performed in throwing athletes, but outcomes of UCL reconstruction requiring excision of bone, either within the substance of or replacing the UCL, have not been studied. Clinical outcome for throwing athletes after UCL reconstruction with gracilis tendon will be less favorable for patients requiring concurrent excision of bone from within the substance of the UCL than for patients with no bone excision within, or replacing, the ligamentous anatomy. Cohort Study; Level of evidence, 3. One hundred twenty pitchers of competitive levels between high school and major league who underwent UCL reconstruction using contralateral gracilis autografts completed a phone survey, and their medical charts were reviewed. Follow-up was a minimum of 2 years. Among the 120 patients, 42 (35%) had bone within, or replacing, the substance of the native UCL (bony group), and 78 (65%) had no bony abnormalities (nonbony group). The latter group of 78 underwent UCL reconstruction using gracilis tendon graft due to the absence of a palmaris longus tendon. Clinical outcomes were compared between the 2 study groups using t tests and χ2 analyses. There were no statistical differences regarding ti...Continue Reading

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Citations

Aug 21, 2016·Clinics in Sports Medicine·Edward Lyle Cain, Owen McGonigle
Sep 8, 2016·Der Orthopäde·M HacklK Wegmann
Nov 14, 2013·The American Journal of Sports Medicine·Jonathan N WatsonMark R Hutchinson
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May 12, 2021·Sports Medicine and Arthroscopy Review·Wiemi A DouoguihAustin Looney
May 18, 2021·SAGE Open Medicine·Austin M LooneyBlake M Bodendorfer
Jun 29, 2021·The American Journal of Sports Medicine·Matthew J J AndersonChristopher S Ahmad

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