{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T05:17:18Z","timestamp":1791091038854,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2014,4,11]],"date-time":"2014-04-11T00:00:00Z","timestamp":1397174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,4,11]],"date-time":"2014-04-11T00:00:00Z","timestamp":1397174400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this systematic review was to critically examine the outcomes of lateral ulnar collateral ligament reconstruction for posterolateral rotatory instability (PLRI) of the elbow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review of the literature was performed. Two reviewers assessed and confirmed the methodologic and patient data from the included studies. Frequency\u2010weighted means were calculated for outcomes that were present in multiple studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eight studies fulfilled our criteria, and they included 130 patients. The mean age was 38.1 years, and the mean follow\u2010up period was 44.5 months. Traumatic dislocation was the most common cause of PLRI. Of the studies that reported the Mayo Elbow Performance Score, 91% of patients had good or excellent results, with a frequency\u2010weighted mean of 91. Improvement in elbow range of motion was noted (133\u00b0 to 138\u00b0 of flexion [\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001] and 6.6\u00b0 to 3.9\u00b0 of extension [\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .005]). A complication rate of 11% was noted, with recurrent instability noted to occur in 8% of patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PLRI of the elbow remains to be fully understood. Treatment strategies vary and should be performed based on surgeon experience and evidence available. Most patients will have good or excellent results after surgery; however, up to 11% of patients may have complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level II through IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2014.02.029","type":"journal-article","created":{"date-parts":[[2014,4,14]],"date-time":"2014-04-14T00:15:11Z","timestamp":1397434511000},"page":"866-871","source":"Crossref","is-referenced-by-count":68,"title":["Surgical Treatment of Posterolateral Rotatory Instability of the Elbow"],"prefix":"10.1002","volume":"30","author":[{"given":"Oke A.","family":"Anakwenze","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Kaiser Permanente San Diego California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Center for Shoulder, Elbow, and Sports Medicine Columbia University New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"O'Donnell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Center for Shoulder, Elbow, and Sports Medicine Columbia University New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William N.","family":"Levine","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Center for Shoulder, Elbow, and Sports Medicine Columbia University New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Center for Shoulder, Elbow, and Sports Medicine Columbia University New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,11]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173030-00015"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200112000-00009"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(99)90102-7"},{"key":"e_1_2_2_5_2","first-page":"1571","article-title":"Posterolateral rotatory instability of the elbow following radial head resection","volume":"87","author":"Hall J.A.","year":"2005","journal-title":"J\u00a0Bone Joint Surg 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