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首页> 外文期刊>American Journal of Sports Medicine >Outcome of ulnar collateral ligament reconstruction of the elbow in 1281 athletes: Results in 743 athletes with minimum 2-year follow-up.
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Outcome of ulnar collateral ligament reconstruction of the elbow in 1281 athletes: Results in 743 athletes with minimum 2-year follow-up.

机译：1281名运动员的肘部尺侧副韧带重建结果：743名运动员进行了至少2年的随访。

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BACKGROUND: The anterior bundle of the ulnar collateral ligament (UCL) is the primary anatomical structure providing elbow stability in overhead sports, particularly baseball. Injury to the UCL in overhead athletes often leads to symptomatic valgus instability that requires surgical treatment. HYPOTHESIS: Ulnar collateral ligament reconstruction with a free tendon graft, known as Tommy John surgery, will allow return to the same competitive level of sports participation in the majority of athletes. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Ulnar collateral reconstruction (1266) or repair (15) was performed in 1281 patients over a 19-year period (1988-2006) using a modification of the Jobe technique. Data were collected prospectively and patients were surveyed retrospectively with a telephone questionnaire to determine outcomes and return to performance at a minimum of 2 years after surgery. RESULTS: Nine hundred forty-two patients were available for a minimum 2-year follow-up (average, 38.4 months; range, 24-130 months). Seven hundred forty-three patients (79%) were contacted for follow-up evaluation and/or completed a questionnaire at an average of 37 months postoperatively. Six hundred seventeen patients (83%) returned to the previous level of competition or higher, including 610 (83%) after reconstruction. The average time from surgery to the initiation of throwing was 4.4 months (range, 2.8-12 months) and the average time to full competition was 11.6 months (range, 3-72 months) after reconstruction. Complications occurred in 148 patients (20%), including 16% considered minor and 4% considered major. CONCLUSION: Ulnar collateral ligament reconstruction with subcutaneous ulnar nerve transposition was found to be effective in correcting valgus elbow instability in the overhead athlete and allowed most athletes (83%) to return to previous or higher level of competition in less than 1 year.
机译：背景：尺侧副韧带（UCL）的前束是主要的解剖结构，可在头顶运动（尤其是棒球）中提供肘部稳定性。高架运动员受伤的UCL通常会导致有症状的外翻不稳，需要手术治疗。假设：用免费的肌腱移植物重建尺侧副韧带，称为汤米·约翰手术，将使大多数运动员恢复到同等的竞技水平。研究设计：案例系列;证据等级：4。方法：采用Jobe技术改良方法，在19年期间（1988-2006年）对1281例患者进行了尺骨侧支重建（1266）或修复（15）。前瞻性地收集数据，并通过电话调查表对患者进行回顾性调查，以确定手术后至少2年的结果和恢复表现。结果：942例患者至少有2年的随访（平均38.4个月;范围24-130个月）。平均术后37个月，对743例患者（79％）进行了随访评估和/或完成了问卷调查。 617名患者（83％）返回到先前的竞争水平或更高水平，其中610名患者（83％）在重建后恢复。重建后，从手术到投掷的平均时间为4.4个月（范围2.8-12个月），全面比赛的平均时间为11.6个月（范围3-72个月）。 148例患者发生并发症（20％），其中16％被认为是轻度，4％被认为是重度。结论：经皮下尺神经移位治疗尺侧副韧带重建可有效纠正高架运动员的外翻肘关节不稳，并允许大多数运动员（83％）在不到一年的时间内恢复到先前或更高水平的比赛。

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