Open AccessUtilization of Internal Bracing in Elbow Medial UCL Stabilization: From Biomechanics to Clinical Application and Patient Outcomes
Author(s) -
Andre Anvari,
Amir T. Fathi,
Ioanna K Bolia,
Eric T. Piatt,
Laith K. Hasan,
Aryan Haratian,
Alexander E. Weber,
Frank A. Petrigliano
Publication year - 2021
Publication title -
orthopedic research and reviews
Language(s) - English
Resource type - Journals
ISSN - 1179-1462
DOI - 10.2147/orr.s321890
Subject(s) - brace , elbow , biomechanics , medicine , cadaveric spasm , physical medicine and rehabilitation , ligament , bracing , physical therapy , computer science , surgery , engineering , mechanical engineering , physiology
Ulnar collateral ligament (UCL) reconstruction has been successfully utilized to treat symptomatic UCL insufficiency in overhead athletes. Despite the overall success of the procedure, attempts have been made to improve upon the original technique with the goal of hastening return to sport. Most recently, there has been interest in repairing or reconstructing the native ligament with internal brace (IB) augmentation. Biomechanical cadaveric studies assessing UCL repair with IB augmentation have attempted to evaluate the efficacy of this treatment; however, the literature is seemingly divided on its benefit. Preliminary clinical studies suggest internal bracing may allow a faster return to sport than conventional techniques. The purpose of this review was to provide an analysis of the current evidence on IB augmentation in UCL repair of the elbow as it pertains to biomechanical advantages/disadvantages, reported surgical techniques, and clinical outcomes in comparison with traditional UCL reconstruction techniques.