Operative treatment of terrible triad of the elbow with a modified Pugh standard protocol: Retrospective analysis of a prospective cohort
| Autor: | Rong-ming Xu, Guanyi Liu, Ming Li, Wei-Hu Ma, Feng Jianxiang, Zhijun Pan |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty China medicine.medical_treatment Elbow Joint Dislocations Observational Study Ulna Arthroplasty 03 medical and health sciences Fracture Fixation Internal traumatic instability 0302 clinical medicine Forearm Clinical Protocols Fracture fixation medicine internal fixation operative treatment Humans 030212 general & internal medicine Range of Motion Articular Prospective cohort study Retrospective Studies 030222 orthopedics business.industry Forearm Injuries Retrospective cohort study General Medicine Middle Aged Surgery Radiography terrible triad of the elbow medicine.anatomical_structure Outcome and Process Assessment Health Care fracture elbow fracture-dislocation Female business Range of motion Lateral Ligament Ankle Radius Fractures Elbow Injuries Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | The aim of the present study was to investigate the efficacy of the surgical treatment of terrible triad injuries of the elbow using a modified standard surgical approach, and treatment determined by the mode and mechanism of injury, and intraoperative findings. The study was a retrospective analysis of a prospective cohort of patients presenting with terrible triad injuries of the elbow, who underwent surgical treatment between July 2009 and January 2014. All patients were treated surgically according to a modified Pugh standard protocol. Elbow functional status and range of movements were evaluated at 3 months, 6 months, 1 year, and 2 years or more after surgery. Radiographic signs of post-traumatic arthritis were rated according to the Broberg and Morrey system. Our series included a final cohort of 29 males and 13 females with a mean age of 48.23 ± 10.95 years at the time of injury. The mean follow-up period was 30.47 ± 7.65 months. The mean flexion-extension arc was 107° ± 22°, and the average forearm rotation arc was 145° ± 14°. The mean Mayo Elbow Performance Score was 88 ± 10 points (range 55 to 100 points), with excellent results in 24 elbows, good results in 16, and poor results in 2. Functional results of the elbow improved significantly from 3 months postoperatively (P |
| Databáze: | OpenAIRE |
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