{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:50Z","timestamp":1787755250142,"version":"build-2784847793"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Rev"],"published-print":{"date-parts":[[2018,5]]},"abstract":"\n Background:<\/jats:title>\n Evidence is limited regarding the complications and outcomes after medial ulnar collateral ligament (UCL) reconstruction. The published data regarding this procedure are composed predominantly of small Level-III and IV retrospective studies for which meta-analysis is not generally useful. Meta-regression is an alternative technique to identify variables across multiple publications that have an effect on published outcomes and complication rates.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n We performed a systematic search of published literature for outcomes after UCL reconstruction. A random effects meta-regression model was constructed to identify the association of study characteristics with outcome proportions. Sensitivity analyses were performed to assess the impact of influential studies on the results.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Fourteen studies (median sample size, 26 patients; range, 10 to 743 patients) were included in the systematic review and meta-regression. These studies included a total of 1,177 patients with a reported Conway outcome rating (a measure of a patient\u2019s return to play). The majority of patients (mean, 83.2%) achieved an excellent Conway rating. Studies involving the docking technique were more likely to have a higher percentage of patients with an excellent outcome (14% risk difference compared with the figure-of-8 technique, p = 0.002) and lower reported rates of ulnar neurapraxia (Spearman correlation = \u22120.83). A lower reported rate of ulnar neurapraxia was strongly associated with the likelihood of an excellent (p = 0.01) or good or excellent (p = 0.001) Conway outcome rating.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Despite substantial heterogeneity among study outcomes, studies that involved a docking technique and that had lower reported rates of ulnar neurapraxia were associated with greater percentages of excellent or good-to-excellent reported Conway outcome ratings.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence:<\/jats:title>\n \n Therapeutic\n Level IV<\/jats:underline>\n . See Instructions for Authors for a complete description of levels of evidence.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.rvw.17.00138","type":"journal-article","created":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T01:24:32Z","timestamp":1525829072000},"page":"e4-e4","source":"Crossref","is-referenced-by-count":26,"title":["Complications and Outcomes After Medial Ulnar Collateral Ligament Reconstruction"],"prefix":"10.2106","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7272-5922","authenticated-orcid":false,"given":"Jeremy S.","family":"Somerson","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch at Galveston, Galveston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Petersen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moni B.","family":"Neradilek","sequence":"additional","affiliation":[{"name":"The Mountain-Whisper-Light, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy M.","family":"Cizik","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert O.","family":"Gee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,5,8]]},"reference":[{"issue":"7","key":"r1-20230908","doi-asserted-by":"crossref","first-page":"1770","DOI":"10.1177\/0363546515580304","article-title":"Trends in medial ulnar collateral ligament reconstruction in the United States: a retrospective review of a large private-payer database from 2007 to 2011","volume":"43","author":"Erickson","year":"2015","journal-title":"Am J Sports Med"},{"issue":"3","key":"r2-20230908","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1177\/0363546515622407","article-title":"Epidemiology of medial ulnar collateral ligament reconstruction: a 10-year study in New York State","volume":"44","author":"Hodgins","year":"2016","journal-title":"Am J Sports Med"},{"issue":"2","key":"r3-20230908","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.jse.2010.01.005","article-title":"Elbow medial ulnar collateral ligament reconstruction: clinical relevance and the docking technique","volume":"19","author":"Bowers","year":"2010","journal-title":"J Shoulder Elbow Surg"},{"issue":"1","key":"r4-20230908","doi-asserted-by":"crossref","first-page":"67","DOI":"10.2106\/00004623-199274010-00009","article-title":"Medial instability of the elbow in throwing athletes. 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