Surgical treatment for terrible triad of the elbow through medial and lateral approach

• Published in: Zhongguo gu shang Vol. 29; no. 7; p. 662
• Main Authors: Wang, Yu, Pang, Guang-Xing, Zhang, Hai-Bin, Liu, Xian-Yin, Li, Song-Bo
• Format: Journal Article
• Language: Chinese
• Published: China 25.07.2016
• Subjects: Adult; Elbow - injuries; Elbow - surgery; Elbow Joint - injuries; Elbow Joint - surgery; Female; Humans; Male; Middle Aged; Postoperative Complications; Radius - injuries; Radius Fractures - surgery; Range of Motion, Articular; Treatment Outcome; Ulna Fractures - surgery; Radial head fracture; Elbow joint; Ulnar coronoid fracture; Terrible triad of the elbow
• ISSN: 1003-0034
• DOI: 10.3969/j.issn.1003-0034.2016.07.017

To investigate the clinical effects of medial and lateral approach in treating terrible triad of the elbow. From May 2010 from May 2014, 11 patients with terrible triad of the elbow were treated through medial and lateral approach. There were 6 males and 5 females, aged from 25 to 56 years with an average of 35.2 years old. The time from injury to operation was from 1 to 13 days with an average of 5.9 days. Fracture of radial head according to Mason typing, 2 cases were type I, 7 cases were type II, 2 cases were type III. Ulnar coronoid fracture according to Regan-Morrey typing, 3 cases were type I, 7 cases were type II, 1 case was type III. Postoperative complications were observed and Mayo elbow performance score(MEPS) was used to assess the elbow joint function. All patients were followed up from 6 to 24 months with an average of 15.5 months. All fractures obtained healing with an average time of 14 weeks (ranged from 10 to 18 weeks). According to Mayo to assess the results, total score was 78.2±11.7, 2 ca