Table 3.
Results of MCL repair
| Author | Patients (n) | Procedure | Follow-up | Results | Commentary |
|---|---|---|---|---|---|
| Jobe et al (1986)30 | 16 high-level throwing athletes | Free palmaris autograft. | - | 10/16 returned to same LP 1/16 lower LP 5/16 retired from pro athletics |
5/15 ulnar related problems: 3 transient sensory, 2 –late and early, required re-operation. |
| Rohrbough et al (2002)31 | 36 athletes | Free palmaris autograft with proximal docking tech. | 3.3 yrs | 92% returned to same or higher LP for at least 1 yr | All 22 professional or collegiate athletes returned to their previous competition level |
| Koh et al (2006)33 | 19 high-level throwing athletes | Muscle-splitting approach with proximal docking. Palmaris or gracilis autograft. | 41.9 mths (6.4 to 67.1) | 18 returned to same or higher LP at 13.1 mths. Conway |
Concomitant procedures included osteophyte removal (2) and loose body removal (1). 1 patient has SAT due to pre-operative ulnar neuritis. 1 patient underwent subsequent ulnar nerve SAT and returned to play. |
| Watson et al (2014)32 | 1368 patients | Included studies with the Jobe tech., Jobe modified tech. Interference screw, docking tech. and modified docking tech. |
Overall average return to play 78.9%, highest for the modified docking technique (91.3%) | Overall complication rate 18.6%: highest with original Jobe tech. and lowest with the modified docking tech. Ulnar nerve neuroapraxia in 12.9%. Re-operations in 6.7% |
LP, level of play; SAT, subcutaneous anterior transposition; tech., technique