What question did this study set out to answer?

To evaluate and compare clinical outcomes, return-to-play metrics, imaging characteristics, and complications between the modified Jobe and docking techniques using gracilis autograft for ulnar collateral ligament reconstruction.

February 1, 2025The American Journal of Sports Medicine

A Prospective, Randomized Trial of the Modified Jobe Versus Docking Techniques With Gracilis Autograft for Ulnar Collateral Ligament Reconstruction in the Elbow

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To evaluate and compare clinical outcomes, return-to-play metrics, imaging characteristics, and complications between the modified Jobe and docking techniques using gracilis autograft for ulnar collateral ligament reconstruction.
Conducted a single-surgeon, single-blinded prospective randomized trial assigning N=80 overhead athletes to either the modified Jobe or docking technique with identical gracilis autograft and rehabilitation protocols.
Achieved follow-up in 81% of patients (65/80), assessing pre- and postoperative Kerlan-Jobe Orthopaedic Clinic (KJOC), Andrews-Timmerman, and Conway-Jobe scores alongside stress ultrasound (SUS) and MRI.
The docking group demonstrated shorter median tourniquet times (91.5 vs 98.0 minutes; P = .001) and higher median 2-year KJOC scores (93.05 vs 79.20; P = .021).
Return-to-play rates were 80% good-to-excellent for docking versus 69% for modified Jobe (P = .501), with time to return (13.92 vs 12.85 months; P = .267) and complication rates (7.5% vs 5.0%; P > .999) showing no significant differences.
Postoperative stress ultrasound showed greater graft thickness in the modified Jobe group (7.70 vs 6.75 mm; P = .006), whereas postoperative MRI and self-reported baseball metrics showed no significant differences.

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Implication

Randomized trial demonstrates higher two-year functional scores with docking versus modified Jobe UCL reconstruction in overhead athletes, suggesting both remain viable surgical options.

Cite This Study

Ciccotti et al. (2025) studied this question.

synapsesocial.com/papers/6a78ee26fc98817f16020665 https://doi.org/10.1177/03635465241305741

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Implication

Randomized trial demonstrates higher two-year functional scores with docking versus modified Jobe UCL reconstruction in overhead athletes, suggesting both remain viable surgical options.

A Prospective, Randomized Trial of the Modified Jobe Versus Docking Techniques With Gracilis Autograft for Ulnar Collateral Ligament Reconstruction in the Elbow

Key Points

Discussion

Implication

Cite This Study

A Prospective, Randomized Trial of the Modified Jobe Versus Docking Techniques With Gracilis Autograft for Ulnar Collateral Ligament Reconstruction in the Elbow

Key Points

Discussion

Implication

Cite This Study

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