2023 ISAKOS Biennial Congress ePoster
Plication Of Medial Collateral LIgament Of The Elbow: Clinical Results
Paolo Arrigoni, Milan ITALY
Francesco Luceri, MD, Milano, Italy/Lombardia ITALY
Carlo Eugenio Zaolino, MD, Milan ITALY
Valerio Monteleone, MD, Milan ITALY
Fabrizio Montironi, Cinisello Balsamo, Milano ITALY
Pietro Simone Randelli, MD, Prof., Milan ITALY
ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan, ITALY
FDA Status Not Applicable
Summary
A study to validate a new surgical technique to plicate the aMCL: a mini-invasive surgical procedure that allows restoration of pre-traumatic elbow stability.
ePosters will be available shortly before Congress
Abstract
OBJECTIVES
To validate the results concerning a new surgical technique elaborated by our team to plicate the anterior bundle medial collateral ligament (aMCL) through a suture anchor
Methods
The case series hereby presented consist of 17 patients who suffered from post-traumatic medial elbow pain and elbow instability who underwent an aMCL plication with suture anchors and decompression of ulnar nerve. The aMCL conditions were evaluated using a 70°-scope. Signs of instability were detected by arthroscopic evaluation. An independent examiner then retrospectively evaluated all 17 patients using the Oxford Elbow Score (OES) and Mayo Elbow Performance Score (MEPI).
Results
Direct visualization of the aMCL was achieved in 17 patients using a 70°-scope. All patients showed lateral subluxation of the coronoid process into the trochlea on arthroscopy. Following the procedure, none of the patients reported further episodes of elbow pain nor instability. All patients returned to normal daily activities.
Conclusions
Mini-open or arthroscopic aMCL plication is a novel technique for minimally invasive surgical procedure that allows restoration of pre-traumatic elbow stability. Direct visualization of the aMCL can be obtained with the help of a 70°-scope. Lateral subluxation of the coronoid process observed during elbow arthroscopy can be considered an indirect sign of minor medial elbow instability.