Terrible triad of the elbow: Surgical management with non-reparable fracture of the radial head
La terrible triade du coude : prise en charge chirurgicale lors de fractures non reconstructibles de la tête radiale
Résumé
The terrible triad is the combination of a posterior dislocation of the elbow, radial head
and coronoid process fractures. The goal of this study is to evaluate our clinical results after
medial capsulo-ligamentar plan reinsertion, radial head replacement and lateral collateral
ligament reinsertion, through a lateral approach.
This is a retrospective study of 13 patients with terrible triad whose radial head fracture is
non-reparable, operated between 2005 and 2010.
The mean follow-up was 39 months. At latest follow-up, the mean Mayo Elbow
Performance Scale was 88/100, the mean Quick Dash was 23/100, and the mean Broberg and
Morrey score was 93/100. The mean range of motion of the elbow was 120°. The mean
flexion was 137°, and the mean extension -17°. The strength and the stability was 100%.
Three complications occurred.
The standard surgical technique used provided good functional outcome.
Domaines
Médecine humaine et pathologie
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