Ulnar collateral ligament reconstruction techniques in elbow instability: Jobe versus Docking technique. A systematic review

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-10-01 DOI:10.23736/s2784-8469.23.04367-5
Silvana DE GIORGI, Giovanni VICENTI, Michele COVIELLO, Mario SUMA, Giuseppe D. CASSANO, Francesco MARUCCIA, Claudio BUONO, Anna C. PASSARELLI, Biagio MORETTI
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Abstract

INTRODUCTION: Ulnar collateral ligament (UCL) tears are common in overhead throwing athletes and contact sport ones. The Jobe and docking techniques are the most common techniques used for reconstruction. This systematic review aims to assess the clinical outcome and the complication rates of the surgical techniques currently used.EVIDENCE ACQUISITION: PubMed, MEDLINE and Cochrane were searched from January 2010 to April 2021 to identify relevant studies. The search terms used were “UCL,” “medial instability of the elbow,” “elbow Docking technique,” and “elbow Jobe technique.” The methodological qualities of the studies were evaluated, relevant data were extracted.EVIDENCE SYNTHESIS: Five studies, published between 2013 and 2019, were included in this review. Three studies had a level of evidence IV, two studies had a level of evidence III and recruited 600 patients undergoing a Docking and 30 patients undergoing a Jobe technique reconstruction. Patients undergoing Docking procedure registered better clinical and functional outcome, assessed using the Conway Jobe scale compared with patients managed with Jobe technique. Nonetheless, this difference is not significant. Complication rate was 7.5%, mainly affecting the ulnar nerve (95.5%).CONCLUSIONS: This systematic review demonstrated that both Jobe and Docking techniques are effective and safe in the treatment of UCL rupture. However, future studies with larger sample size of Jobe technique are needed to show statistical differences between these two surgical approaches.
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肘关节不稳的尺侧副韧带重建技术:Jobe与对接技术。系统回顾
简介:尺侧副韧带(UCL)撕裂是常见的头顶投掷运动员和接触运动的运动员。关节和对接技术是重建中最常用的技术。本系统综述旨在评估目前使用的手术技术的临床结果和并发症发生率。证据获取:检索2010年1月至2021年4月的PubMed、MEDLINE和Cochrane,以确定相关研究。搜索词是“UCL”、“肘关节内侧不稳定”、“肘关节对接技术”和“肘关节Jobe技术”。评估研究的方法学质量,提取相关数据。证据综合:本综述纳入了2013年至2019年发表的五项研究。三项研究的证据水平为IV级,两项研究的证据水平为III级,并招募了600名接受对接的患者和30名接受Jobe技术重建的患者。与采用Jobe技术的患者相比,采用康威Jobe量表评估,接受对接手术的患者的临床和功能结果更好。尽管如此,这种差异并不显著。并发症发生率为7.5%,主要累及尺神经(95.5%)。结论:本系统综述表明Jobe和Docking技术在治疗UCL破裂中是有效和安全的。然而,未来需要更大样本量的Jobe技术研究来证明这两种手术入路之间的统计学差异。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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