Department of Orthopaedic Surgery, Upper Extremity and Microsurgery Center, Pohang Semyung Christianity Hospital, Daedo Dong 94-5, Nam Gu, Pohang, Kyeongbuk, Korea.
Knee Surg Sports Traumatol Arthrosc. 2011 Jun;19(6):1009-12. doi: 10.1007/s00167-010-1310-2. Epub 2010 Nov 10.
Recent studies have found that the radial collateral ligament (RCL) plays a key role in the lateral stability of the elbow joint, and there is no truly isometric location for LUCL tendon graft reconstruction tunnels using the original technique. However, no report has been issued on the treatment including RCL reconstruction and the modification of LUCL reconstruction in patients with posterolateral rotatory instability (PLRI). Three patients with PLRI were treated using two different ways and produced good results. First, dual reconstruction of the LUCL and RCL was performed, and second, the insertion of the reconstructed LUCL was shifted to the AL instead of to the original ulna to produce a more flexible isometric point setting. We want to report on the management of PLRI by dual reconstruction of the RCL and LUCL and a modification of the original technique of LUCL reconstruction.
最近的研究发现，桡侧副侧副韧带（RCL）在肘关节外侧稳定性中起着关键作用，并且使用原始技术，LUCL 肌腱移植物重建隧道没有真正的等距位置。但是，在患有后外侧旋转不稳定（PLRI）的患者中，还没有关于包括 RCL 重建和 LUCL 重建修改的治疗报告。我们采用两种不同的方法治疗了 3 例 PLRI 患者，并取得了良好的效果。首先，进行 LUCL 和 RCL 的双重重建，其次，将重建的 LUCL 的插入点移至 AL 而不是原来的尺骨，以产生更灵活的等距点设置。我们想报告通过 RCL 和 LUCL 的双重重建以及 LUCL 重建原始技术的修改来管理 PLRI。
