Table 2.
Operative details, followup assessment outcomes and complications
| Patient | Revision LCLC reconstruction (graft type and technique) | Additional procedures, if any | Type of followup | Followup (years)* | Most recent pain | MEPS (points) | MEPS grade | Quick-DASH score (points) | Complications, if any | Additional operations, if any |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Semitendinosus, yoke configuration | Removal of loose bodies | Questionnaire | 12 | None | 100 | Excellent | 0 | ||
| 2 | Semitendinosus, interference screw | Questionnaire | 3 | Mild | 85 | Good | 9 | |||
| 3 | Plantaris, yoke configuration | Submuscular ulnar nerve transposition | Questionnaire | 5 | Moderate | 65 | Fair | 59 | Surgical wound complication | Irrigation and debridement |
| 4 | Plantaris, yoke configuration | Capsule plication | Questionnaire | 6 | None | 100 | Excellent | 0 | ||
| 5 | Achilles, docking technique | MCL plication, ulnar nerve decompression, prosthesis replacement of the capitellum, external fixator was applied | Clinic visit | 1 | Mild | 85 | Good | 18 | Nonunion/malunion fracture of the ulna (traumatic) | Open reduction and corrective osteotomy of the ulna |
| 6 | Plantaris, docking technique | Joint debridement | Clinic visit | 1 | Mild | 85 | Good | 11 | ||
| 7 | Plantaris, yoke configuration | Coronoid reconstruction using bone autograft | Questionnaire | 10 | Mild | 85 | Good | 18 | ||
| 8 | Plantaris, yoke configuration | MCL plication, external fixator was applied | Questionnaire | 2 | Moderate | 60 | Fair | 45 | ||
| 9 | Semitendinosus, docking technique | Questionnaire | 9 | Moderate | 65 | Fair | 59 | Persistent instability, arthrosis, ulnar neuropathy | ||
| 10 | Plantaris, yoke configuration | Coronoid reconstruction using bone autograft, capsule plication | Clinic visit | 0.50 | Moderate | 55 | Poor | 75 | Persistent instability, inadequate medial coronoid trochlear articulation, trochlear erosion | Coronoid reconstruction using osteochondral autograft, LCLC revision using plantaris allograft, capsule plication, ulnar nerve transposition |
| 11 | Semitendinosus, docking technique | Ulnar nerve decompression | Clinic visit | 0.58 | Severe | 40 | Poor | 77 | Persistent instability | Repair of the LCLC allograft construct and the annular ligament |
* Until the most recent clinical evaluation or until the clinic visit before reoperation for persistent posterolateral rotatory instability; LCLC = lateral collateral ligament complex; MEPS = Mayo Elbow Performance Score; MCL = medial collateral ligament.