Similar outcomes after UCL reconstruction seen with modified Jobe vs docking techniques
Use of either the modified Jobe or docking techniques yielded similar outcomes at mid-term follow-up in patients who underwent elbow ulnar collateral ligament reconstruction, according to results.
James P. Bradley, MD, and colleagues compared Kerlan-Jobe Orthopaedic Clinic score, Conway Scale, years played, handedness, sport, position, palmaris vs. gracilis graft type, concomitant or future arm/shoulder injuries and the need for additional surgery among 51 patients undergoing elbow UCL reconstruction with either the modified Jobe (n=25) or docking (n=26) technique. Patients in the modified Jobe group had a mean follow-up of 6.1 years compared with 7.3 years in the docking group.
Results showed no differences with regard to Kerlan-Jobe Orthopaedic Clinic scores, Conway Scale, years played, handedness, sport, position, level of competition and future surgery between the two groups. Researchers found a significantly higher Kerlan-Jobe Orthopaedic Clinic score among patients who received a palmaris graft vs. a hamstring graft.
Since the results revealed the two procedures had similar outcomes at mid-term follow-up, Bradley advises surgeons to choose the procedure with which they are most comfortable.
“[Both procedures are] comparable, so pick the one you are most comfortable with and learn all of its nuances and just do that specific procedure,” Bradley told Healio.com/Orthopedics. – by Casey Tingle
Disclosures: Bradley reports he receives royalties and speakers and travel payments from Arthrex. Please see the full study for a list of all other authors’ relevant financial disclosures.