{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T04:52:25Z","timestamp":1792126345409,"version":"4.4.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The aim of surgical treatment for posterolateral rotatory instability (PLRI) of the elbow is to restore the integrity of the lateral ulnar collateral ligament (LUCL), with ligamentous reconstruction being the preferred option for recurrent symptomatic PLRI. However, there is no clinical evidence demonstrating the superiority of reconstruction versus repair. Treatment options currently depend on the cause of the LUCL injury and surgeon preference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To review studies comparing surgical outcomes of LUCL reconstruction versus repair in treating PLRI of the elbow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Systematic review; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This review was conducted according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A literature search was conducted on PubMed, Medline (via EBSCO), ProQuest, and ScienceDirect databases using the following keywords: \u201c(lateral ulnar collateral ligament reconstruction)\u201d OR \u201c(lateral ulnar collateral ligament repair)\u201d AND \u201c(outcome).\u201d Excluded were studies in languages other than English, those that included terrible triad injury, transolecranon fracture, radial head arthroplasty involvement, associated procedures, animal studies, and biomechanical studies. A total of 193 studies were identified after the initial search. The primary outcome measure was the Mayo Elbow Performance Score, which was compared between studies using a random-effects model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Overall, 20 studies (N = 646 patients) were included, with 445 of 646 patients (68.8%) in the LUCL reconstruction group and 201 of 646 patients (31.1%) in the LUCL repair group. All injuries in the included studies were traumatic. The LUCL reconstruction group had a longer follow-up period compared with the LUCL repair group (72.05 \u00b1 43.51 vs 36.86 \u00b1 21.19 months, respectively). The postoperative range of motion arc was similar in both the repair and reconstruction groups (135.02\u00b0\u00b1 15.33\u00b0 vs 133.60\u00b0\u00b1 8.84\u00b0, respectively). Both LUCL repair and LUCL reconstruction resulted in good to excellent outcomes on patient-reported outcome measures; however, a superior rate of return to activity and a lower complication rate were found after LUCL reconstruction versus LUCL repair (8.3% vs 14.9%). Ulnar nerve event (2.3%) was the most common complication in both groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Findings indicated that LUCL reconstruction had a superior rate of return to activity and a lower complication rate compared with LUCL repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671241299831","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T09:32:53Z","timestamp":1736242373000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Surgical Outcomes of Lateral Ulnar Collateral Ligament Reconstruction Versus Repair for Posterolateral Rotatory Instability of the Elbow: A Systematic Review and Meta-analysis"],"prefix":"10.1177","volume":"13","author":[{"given":"Erica","family":"Kholinne","sequence":"first","affiliation":[{"name":"St Carolus Hospital, Jakarta, Indonesia"},{"name":"Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhan Herr","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, Queen Alexandra Hospital, Portsmouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Anastasia","sequence":"additional","affiliation":[{"name":"St Carolus Hospital, Jakarta, Indonesia"},{"name":"Department of Orthopedic and Traumatology, Udayana University, Bali, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard Christianto","family":"Singjie","sequence":"additional","affiliation":[{"name":"St Carolus Hospital, Jakarta, Indonesia"},{"name":"Department of Orthopedic and Traumatology, Hasanuddin University, Makassar, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae-Man","family":"Kwak","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In-Ho","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"bibr1-23259671241299831","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"bibr2-23259671241299831","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520927412"},{"key":"bibr3-23259671241299831","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.10.016"},{"key":"bibr4-23259671241299831","doi-asserted-by":"publisher","DOI":"10.1016\/j.jses.2018.02.004"},{"key":"bibr5-23259671241299831","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274010-00009"},{"key":"bibr6-23259671241299831","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.02.011"},{"key":"bibr7-23259671241299831","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-014-0688-y"},{"key":"bibr8-23259671241299831","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-20020901-10"},{"key":"bibr9-23259671241299831","doi-asserted-by":"publisher","DOI":"10.1080\/00016470410001367-1"},{"key":"bibr10-23259671241299831","doi-asserted-by":"publisher","DOI":"10.1177\/1558944720917763"},{"key":"bibr11-23259671241299831","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-03759-6"},{"key":"bibr12-23259671241299831","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05402-9"},{"key":"bibr13-23259671241299831","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510385401"},{"key":"bibr14-23259671241299831","unstructured":"Howick J, Chalmers I, Lind J, et al. 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