Non-anatomical reconstruction of lateral ulnar collateral ligament of the elbow after tumor resection View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2015-11

AUTHORS

Masuo Hanada, H. Kadota, T. Matsunobu, E. Shimada, Y. Iwamoto

ABSTRACT

We present the case of an 80-year-old man with a tumor recurrence on his right arm 6 years after initial treatment. The lateral aspect of the elbow joint, involving overlaying skin, muscles, tendons, joint capsule, lateral collateral ligament complex, the lateral 1/3 of the capitellum, and lateral epicondyle of humerus were excised in the tumor resection. Intraoperative assessment revealed multidirectional instability of the elbow, and joint stabilization was needed. Because the lateral epicondyle was resected, graft placement in an anatomical position was impossible to carry out. Therefore, non-anatomical reconstruction of lateral ulnar collateral ligament with palmaris longus tendon graft was performed. The skin was reconstructed using an antegrade pedicled radial forearm flap. For wrist extension reconstruction, the pronator quadratus tendon was transferred to the extensor carpi radialis brevis tendon. One year after the operation, elbow range of motion was 5-130°. The patient remains symptom free. The Mayo elbow performance score is good. The Musculoskeletal Tumor Society rating score is excellent. To our knowledge, this is the first report of an elbow lateral ulnar collateral ligament reconstruction after tumor resection. More... »

PAGES

195-199

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11751-015-0235-1

DOI

http://dx.doi.org/10.1007/s11751-015-0235-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1043954714

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26577898


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