Surgical reconstructions for posterolateral rotatory instability of elbow using a synthetic ligament
Shoulder & Elbow Jul 19, 2019
Tawari GJK, et al. - Ten consecutive cases of lateral ligament reconstruction using a LARS® ligament were analyzed by the researchers in to exhibit their experience of reconstruction with the use of a synthetic polyester (LARS®; Ligament Advanced Reinforcement System; Surgical Implants and Devices, Arc-sur-Tille, France) ligament and to discuss the benefits of this technique. Three cases had generalized hyperlaxity and 3 cases previously underwent a failed autogenous graft reconstruction. The mean postoperative follow-up was noted to be 27 months. Seven of the 10 subjects reported stable elbows with no feelings of recurrent instability and two of the subjects reported generalized hyperlaxity. The mean postoperative arc of flexion/extension was observed to be 13° to 137°. The mean Mayo Elbow Performance Score was seen to be 87.5. Hence, for reconstruction of posterolateral rotatory instability of the elbow, the use of a synthetic ligament gave a satisfactory stability. Furthermore, it ignored the correlated morbidity of using an autograft, that seemed to be well tolerated and was mainly valuable in the treatment of complex generalized hyperlaxity problems.
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