Acta Chir Orthop Traumatol Cech. 2019; 86(5):353-357 | DOI: 10.55095/achot2019/060

Acute Total Ulnar Collateral Ligament Injuries of Thumb - Primary Repair with Mini Soft Suture Anchor (JuggerKnot™)Original papers

A. KARA1, B. GÜLENÇ1,*, H. ÇELIK2, E. KILINÇ3, S. ÇAMUR2, B. ªENER4
1 Istanbul Medipol University, Orthopaedics and Traumatology Department, Istanbul, Turkey
2 Ümraniye Training and Research Hospital, Orthopaedics and Traumatology Department, Istanbul, Turkey
3 Burdur Gölhisar State Hospital, Orthopaedics and Traumatology Department, Istanbul, Turkey
4 Kocaeli Central Hospital, Orthopaedics and Traumatology Department, Istanbul, Turkey

PURPOSE OF THE STUDY:
We aimed to investigate the functional outcomes and complications of a new approach, the primary UCL repair using JuggerKnot™ Soft Anchor-1.0 mm Mini (Zimmer-Biomet).

MATERIAL AND METHODS:
This study included a total of 12 patients with acute UCL injury who were operated with primary repair with JuggerKnot™ Soft Anchor-1.0 mm Mini between January 2012 and September 2016. All patients were operated on using the same surgical technique. The thumb pinch and grip strengths, articular range of motion, and Glickel functional score were recorded for all patients. The pinch grip strength and articular range of motion were compared with the intact side. Early and late postoperative complications were recorded.

RESULTS:
The mean follow-up time was 22.2 months (range 6-54 months). The grip strength and the pinch strength were 94.3% and 92.27%, respectively, of the contralateral side. Articular range of motion attained the same level as the contralatereal side in all patients at the final visit, and no patient suffered from any complication. The patients returned to work at a mean of 5.45 weeks, and the Glickel score was good in 1 patient and excellent in the remainder 11 patients.

CONCLUSIONS:
Surgical repair using the JuggerKnot™ Soft Anchor-1.0 mm is an effective alternative treatment method for acute total ulnar collateral ligament (UCL) rupture.

Keywords: ulnar collateral ligament, acute total injury, thumb, soft suture anchor, JuggerKnot™

Published: October 1, 2019  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
KARA A, GÜLENÇ B, ÇELIK H, KILINÇ E, ÇAMUR S, ªENER B. Acute Total Ulnar Collateral Ligament Injuries of Thumb - Primary Repair with Mini Soft Suture Anchor (JuggerKnot™). Acta Chir Orthop Traumatol Cech. 2019;86(5):353-357. doi: 10.55095/achot2019/060. PubMed PMID: 31748111.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Agrawal V, Pietrzak WS. Triple labrum tears repaired with the JuggerKnot soft anchor: Technique and results. Int J Shoulder Surg. 2015;9:81-89. Go to original source... Go to PubMed...
    2. Bostman OM, Pihlajamaki HK. Adverse tissue reactions to bioabsorbable fixation devices. Clin Oorthop Relat Res. 2000;371:216-227. Go to original source...
    3. Bowers WH, Hurst LC. Gamekeeper's thumb. Evaluation by arthrography and stress roentgenography. J Bone Joint Surg Am. 1977;59:519-524. Go to original source... Go to PubMed...
    4. Brown CA, Hurwit D, Behn A, Hunt KJ. Biomechanical comparison of an all-soft suture anchor with a modified Brostrom-Gould suture repair for lateral ligament reconstruction. Am J Sports Med. 2014;42:417-422. Go to original source... Go to PubMed...
    5. Campbell JD, Feagin JA, King P, Lambert KL, Cunningham R. Ulnar collateral ligament injury of the thumb. Treatment with glove spica cast. Am J Sports Med. 1992;20:29-30. Go to original source... Go to PubMed...
    6. Cheung JP, Fung B, Ip WY. Peak load resistance of the JuggerKnot soft anchor technique compared with other common fixation techniques for large mallet finger fractures. Hand Surg. 2013;18:381-383. Go to original source... Go to PubMed...
    7. Dinowitz M, Trumble T, Hanel D, Vedder NB, Gilbert M. Failure of cast immobilization for thumb ulnar collateral ligament avulsion fractures. J Hand Surg. 1997;22:1057-1063. Go to original source... Go to PubMed...
    8. Engel J, Ganel A, Ditzian R, Militeanu J. Arthrography as a method of diagnosing tear of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb (Gamekeeper's thumb). J Trauma. 1979;19:106-109. Go to original source... Go to PubMed...
    9. Galano GJ, Jiang KN, Strauch RJ, Rosenwasser MP, Tang P. Inflammatory response with osteolysis related to a bioabsorbable anchor in the finger: a case report. Hand. 2010;5:307-312. Go to original source... Go to PubMed...
    10. Giannikas D, Athanaselis E, Matzaroglou C, Saridis A, Tyllianakis M. An unusual complication of Mitek suture anchor use in primary treatment of flexor digitorum profundus tendon laceration: a case report. Cases J. 2009;2:9319. Go to original source... Go to PubMed...
    11. Glickel SZ, Malerich M, Pearce SM, Littler JW. Ligament replacement for chronic instability of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. J Hand Surg. 1993;18:930-941. Go to original source... Go to PubMed...
    12. Heyman P, Gelberman RH, Duncan K, Hipp JA. Injuries of the ulnar collateral ligament of the thumb metacarpophalangeal joint. Biomechanical and prospective clinical studies on the usefulness of valgus stress testing. Clin Orthop Relat Res. 1993;292:165-171. Go to original source...
    13. Jackson M, McQueen MM. Gamekeeper's thumb: a quantitative evaluation of acute surgical repair. Injury. 1994;25:21-23. Go to original source... Go to PubMed...
    14. Katolik LI, Friedrich J, Trumble TE. Repair of acute ulnar collateral ligament injuries of the thumb metacarpophalangeal joint: a retrospective comparison of pull-out sutures and bone anchor techniques. Plast Reconstr Surg. 2008;122:1451-1456. Go to original source... Go to PubMed...
    15. Kozin SH, Bishop AT. Gamekeeper's thumb. Early diagnosis and treatment. Orthop Rev. 1994;23:797-804. Go to PubMed...
    16. Kozin SH. Treatment of thumb ulnar collateral ligament ruptures with the Mitek bone anchor. Ann Plast Surg. 1995;35:1-5. Go to original source... Go to PubMed...
    17. Lane LB. Acute Grade III ulnar collateral ligament ruptures. A new surgical and rehabilitation protocol. Am J Sports Med. 1991;19:234-237. Go to original source... Go to PubMed...
    18. Mazzocca AD, Chowaniec D, Cote MP, Fierra J, Apostolakos J, Nowak M, Arciero RA, Beitzel K. Biomechanical evaluation of classic solid and novel all-soft suture anchors for glenoid labral repair. Arthroscopy. 2012;28:642-648. Go to original source... Go to PubMed...
    19. Picard F, Khalifa H, Dubert T. Duration of sick leave after surgical repair of the ulnar collateral ligament of the thumb metacarpophalangeal joint with K-wire immobilization: Prospective case series of 21 patients. Hand Surg Rehabil. 2016;35:122-126. Go to original source... Go to PubMed...
    20. Samora JB, Harris JD, Griesser MJ, Ruff ME, Awan HM. Outcomes after injury to the thumb ulnar collateral ligament-a systematic review. Clin J Sports Med. 2013;23:247-254. Go to original source... Go to PubMed...
    21. Sollerman C, Abrahamsson SO, Lundborg G, Adalbert K. Functional splinting versus plaster cast for ruptures of the ulnar collateral ligament of the thumb. A prospective randomized study of 63 cases. Acta Orthop Scand. 1991;62:524-526. Go to original source... Go to PubMed...
    22. Strandell G. Total rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb: results of surgery in 35 cases. Acta Chir Scand. 1959;118:72-80. Go to PubMed...

    Return to the content