| Autor: |
F. Jara Sánchez, D. Cecilia López, A. Díaz Martín, C. Resines Erasun, L. Suárez Arias, M.A. Porras Moreno |
| Rok vydání: |
2010 |
| Předmět: |
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| Zdroj: |
Revista Española de Cirugía Ortopédica y Traumatología (English Edition). 54:357-362 |
| ISSN: |
1988-8856 |
| DOI: |
10.1016/s1988-8856(10)70262-5 |
| Popis: |
Objective To analyse the results in patients with the combination of elbow dislocation and fracture of the radial head and the coronoid process (or «terrible triad» of elbow) using a standardised protocol. Material and methods A prospective longitudinal study of 24 patients, 10 women and 14 men, median age was 53 years, diagnosed and operated of elbow triad using a standardised protocol The mean follow-up was two years (12–50 months). Treatment included replacement or osteosynthesis of the radial head, repair or osteosynthesis of the coronoid fracture and ligament repair. The results were evaluated clinically using the Mayo scale Elbow Performance Score (MEPS) and radiographically. Results The final average mobility was 105° of flexion-extension and 150° of pronosupination. The average score according to the MEPS level was 85 (65–100 points). No patient required re-intervention although there were two complications: one had a superficial infection and in another a residual fragment of the radial head remained that was not removed during surgery. Conclusion The treatment for the «terrible triad» of the elbow should maintain a stable joint, preserving or replacing the radial head, repairing the lateral collateral ligament complex, and synthesis of the coronoid fracture. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect