Volume 26, Issue 125, July 2022

Prevention of radial head instability by augmentation of annular ligament with local triceps tendon sheath autograft in radial head Fixation or Replacement: A case series

Suhas Vijay Landge¹, Prateek Upadhyay^2♦, Aditya Pundkar³, Shubham Padmawar¹, Nikhil Bhalerao⁴

¹Assistant Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
²Post Graduate Resident, Department of Orthopaedics, Jawaharlal Nehru Medical, College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
³Associate Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
⁴Assistant Professor, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

^♦Corresponding author
Post Graduate Resident, Department of Orthopaedics, Jawaharlal Nehru Medical, College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

ABSTRACT

During radial head plating or replacement it has been observed that the end to end repair of annular ligament was impossible especially when torn. It may cause radial head instability later on. Use of Bell Tawse technique and its modification has been elaborated in literature for the management of chronic radial head instability using Triceps tendon autograft, but its application for prevention of instability in the first place has not been elaborated. This case series will explain prevention of instability of radial head in those cases. During radial head plating or replacement, torn or resected annular ligament was augmented with a strip of autologous triceps tendon sheath graft. During subsequent follow-ups no patient had any instability in the elbow. The mean of Mayo elbow performance score (MEPS) was 90 in 6 month follow-up. Radial head instability can be prevented in first place by simply augmenting annular ligament with triceps tendon sheath graft.

Keywords: Radial head fracture, Annular ligament reconstruction, Radial head plating, Bell Tawse technique, Radial head arthroplasty, Mayo elbow performance score.

Medical Science, 2022, 26, ms308e1975

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DOI: https://doi.org/10.54905/disssi/v26i125/ms308e1975

Published: 26 July 2022