Short-term effectiveness of free radial head reconstruction of coronoid process combined with artificial radial head replacement in treatment of complex terrible triad of elbow

• Published in: Zhongguo xiu fu chong jian wai ke za zhi Vol. 35; no. 2; p. 139
• Main Authors: Chen, Tao, Ma, Xinlong, Ma, Jianxiong, Yu, Runze, Yu, Defu
• Format: Journal Article
• Language: Chinese
• Published: China 15.02.2021
• Subjects: Adult; Elbow; Elbow Joint - surgery; Epiphyses; Female; Humans; Male; Middle Aged; Retrospective Studies; Rotation; coronal process reconstruction; Terrible triad of the elbow; radial head replacement; free radial head fragment
• ISSN: 1002-1892
• DOI: 10.7507/1002-1892.202009081

To investigate the short-term effectiveness of free radial head reconstruction of coronoid process, artificial radial head replacement, and ulna olecranon internal fixation in the treatment of the complex terrible triad of the elbow. Retrospective analysis was made on the clinical data of 12 patients with complex terrible triad of the elbow treated with free radial head reconstruction of coronoid process, artificial radial head replacement, and ulna olecranon internal fixation between April 2011 and April 2018. There were 8 males and 4 females with an average age of 44.5 years (range, 26-62 years). The causes of injury included 5 cases of traffic accident, 7 cases of falling from hight. The Regan-Morrey classification of ulnar coronoid process fractures was type Ⅲ; Mason classification of radial head fractures was type Ⅲ in 7 cases and type Ⅳ in 5 cases. The time from injury to operation was 5-14 days, with an average of 6.0 days. The operation time, intraoperative blood loss, and complications were recorded.