{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:16:49Z","timestamp":1787509009972,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,2,14]],"date-time":"2019-02-14T00:00:00Z","timestamp":1550102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,2,14]],"date-time":"2019-02-14T00:00:00Z","timestamp":1550102400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Most elbow dislocations can be treated conservatively, with surgery indicated in special circumstances. Surgical options, apart from fracture fixation, range from repair or reconstruction of the damaged ligaments to static external fixation, usually entailing either a long period of immobilization followed by carefully monitored initiation of movement or dynamic external fixation. In general, no consensus regarding surgical treatment has been reached. A new method of open ligament repair and augmentation of the lateral ulnar collateral ligament using a non\u2010absorbable suture tape in cases of acute and subacute elbow instability following dislocations has been described here, which allows an early, brace\u2010free initiation of the full range of motion. This is the first description of the technique of internal bracing of the lateral elbow with preliminary patient outcome parameters for acute treatment of posterolateral rotatory instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seventeen patients (14\u00a0males and 3 females) with acute or subacute posterolateral elbow instability as a result of dislocation or fracture dislocation were treated in our centre (Sporthopaedicum, Straubing, Regensburg, Germany) from 2014 to 2015 with open LUCL re\u2010fixation and non\u2010absorbable suture tape augmentation. The elbows were actively mobilized immediately after the operation and a maximum bracing period of 3\u00a0days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At 10\u00a0month median follow\u2010up, none of the patients showed clinically apparent signs of instability or suffered subluxation or re\u2010dislocation. One patient required re\u2010operation for heterotopic ossification. The median range of motion was from 10\u00b0 (0\u201340) to 130\u00b0 (90\u201350) and median Oxford, Mayo Elbow Performance score, Simple Elbow Value, and DASH Scores were 41(29\u201348), 100 (70\u2013100), 83% (60\u201395), and 18.5 (1.6\u201366), respectively. All patients reported a complete return to pre\u2010injury level of activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Augmentation with a non\u2010absorbable suture tape acting as an \u2018Internal Brace\u2019 following an elbow dislocation is a safe adjunct to primary ligament repair and may allow the early mobilization and recovery of elbow stability and range of motion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-019-05402-9","type":"journal-article","created":{"date-parts":[[2019,2,14]],"date-time":"2019-02-14T03:45:05Z","timestamp":1550115905000},"page":"3269-3275","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Repair and augmentation of the lateral collateral ligament complex using internal bracing in dislocations and fracture dislocations of the elbow restores stability and allows early rehabilitation"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1667-3237","authenticated-orcid":false,"given":"Stefan","family":"Greiner","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Sporthopaedicum, Straubing and Regensburg Bahnhofplatz, 27 94315 Straubing Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Koch","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Trauma Surgery University Medical Centre Regensburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Kerschbaum","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Trauma Surgery University Medical Centre Regensburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pushkar P.","family":"Bhide","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Sporthopaedicum, Straubing and Regensburg Bahnhofplatz, 27 94315 Straubing 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Neither is there any conflict of interest with respect to the subject of the article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Ethical approval was obtained from the Institutional Ethical Committee at the Technical University (Technische \u00dcniversit\u00e4t), Dresden, under the application no. EK377102014.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}