Detaillierte Beitrags-Information
| Beitragstitel | 2 years follow-up after arthroscopic repair for posterolateral rotational elbow instability |
|---|---|
| Beitragscode | P06 |
| Autoren | |
| Präsentationsform | Poster |
| Themengebiete |
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| Abstract |
2 years follow-up after arthroscopic repair for posterolateral rotational elbow instability Introduction: Posterolateral rotational instability of the elbow causes pain and instability and is often misdiagnosed as epicondylitis lateralis. The gold standard is ligament reconstruction with a tendon graft, which requires an open approach and may cause additional harvest morbidities due to autograft. This study is a follow-up of 10 patients two years after arthroscopic elbow stabilisation with suture anchors instead of a tendon graft. Methods: 2-year results after performing elbow arthroscopy with reinsertion of the lateral ulnar collateral ligament and extensor tendons with suture anchors in patients with clinical, mri and intraoperative confirmed PLRI II°-III°. Endpoints were VAS pain (0-10), ROM, the Mayo Elbow Performance Score (MEPS) and the Andrews Carson Score (ACS). Results: The mean age was 44 years (95%CI 35-53), 60% male. 4 patients had a history of trauma, all others had been treated for lateral epicondylitis with an average of 2.2 (95%CI 1-4) corticosteroid injections and physiotherapy. There were statistically significant and clinically relevant improvements in all endpoints with a reduction in pain by 5.4 pts (95%CI 4.6-6.3) and improvement in MEPS by 37.2 pts (95%CI 28-47) and ACS by 59 pts (95%CI 50-68). There was no significant reduction in extension (-1°, 95%CI -2.9-3.8) or flexion (-1.7°, 95%CI -0.6-4.0). There were no complications, one patient did report occasional tenderness to touch over the knots. Conclusion: Arthroscopic stabilization provided a statistically significant and clinically relevant improvement in this prospective cohort of patients with °II - °III PLRI. |