Comparative analysis of surgical options for medial collateral ligament repair in terrible triad injury of the elbow
| Autor: | Soichi Nakajima, Gosuke Oki, Masahito Honda, Yoshiaki Yamanaka, T. Aizawa, Shingo Nobuta, K Sasajima, Taku Hatta, Eiji Itoi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medial collateral ligament
medicine.medical_specialty Radiography Elbow Article Coracoid 03 medical and health sciences repair 0302 clinical medicine hemic and lymphatic diseases Medicine Orthopedics and Sports Medicine Orthopedic surgery 030222 orthopedics Medial collateral ligament business.industry medicine.disease Surgery medicine.anatomical_structure Ligament Heterotopic ossification Radial head fracture terrible triad injury business Range of motion 030217 neurology & neurosurgery RD701-811 |
| Zdroj: | Orthopedic Reviews, Vol 8, Iss 3 (2016) Orthopedic Reviews |
| ISSN: | 2035-8164 2035-8237 |
| Popis: | The aim of our study is to evaluate the clinical and radiologic outcomes in patients with terrible triad injury, who underwent surgical treatment with or without the medial collateral ligament (MCL) repair. Fourteen patients who underwent surgery with a minimum of 12- month follow-up (mean, 17 months) were reviewed. Based on the systematic treatment protocol, radial head fracture, lateral collateral ligament, and coracoid fracture were treated. Subsequently, torn MCL was repaired in 7 patients, whereas in the remaining 7 patients, the MCL was not treated. Range of motion, elbow function, and radiographs regarding the arthrosis and heterotopic ossification were assessed. At final follow-up, no significant differences were found in elbow motion or function between the groups with and without MCL repair; except the pronation and supination which had superior range in repair group. In contrast, radiologic findings such as the arthrosis were seen more frequently in patients without MCL repair than those with repair. Our results indicate the effect of MCL repair on elbow motion and function might be small, whereas osteoarthritic changes occurred more frequently in elbows without MCL repair. |
| Databáze: | OpenAIRE |
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