Does the Coronoid Always Need to Be Fixed in Terrible Triad Injuries of the Elbow? Mid-Term Postoperative Outcomes Following a Standardized Protocol
| العنوان: | Does the Coronoid Always Need to Be Fixed in Terrible Triad Injuries of the Elbow? Mid-Term Postoperative Outcomes Following a Standardized Protocol |
|---|---|
| المؤلفون: | Chul-Hyun Cho, Du-Han Kim, Seok-Ho Byun, Beom-Soo Kim |
| المصدر: | Journal of Clinical Medicine Volume 9 Issue 11 Journal of Clinical Medicine, Vol 9, Iss 3500, p 3500 (2020) |
| بيانات النشر: | Multidisciplinary Digital Publishing Institute, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Radiography, Elbow, lcsh:Medicine, outcomes, Article, 03 medical and health sciences, 0302 clinical medicine, medicine, 030212 general & internal medicine, Recurrent instability, 030222 orthopedics, Medial collateral ligament, terrible triad injuries, business.industry, lcsh:R, Triad (anatomy), General Medicine, elbow, Single surgeon, Surgery, Coronoid process, medicine.anatomical_structure, Ligament, business, clinical protocol, coronoid |
| الوصف: | The purpose of this study was to investigate mid-term outcomes and complications after operative treatment according to a standardized protocol for terrible triad injuries. Twenty-four patients that were treated by a single surgeon with a standardized surgical protocol were retrospectively reviewed. After the complete reconstruction of radial head and/or lateral collateral ligament (LCL) complex through a lateral approach, coronoid process, and/or medial collateral ligament (MCL) complex through a medial approach were fixed if the elbow is unstable. For coronoid fractures, only type III were fixed in four cases (16.7%). Twenty-two LCL (91.7%) and five MCL (20.8%) complexes were repaired. At the final follow-up, the mean MEPS and Quick-DASH score were 91.5 and 17.3, respectively. There was no recurrent instability after operation in all cases. This study revealed that operative treatment that was based on our standardized protocol for terrible triad injuries yielded satisfactory mid-term clinical and radiographic outcomes without any recurrent instability. These results suggest that Type I and II coronoid fractures in terrible triad injuries do not need to be fixed if the radial head and ligamentous complex are completely reconstructed. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2077-0383 |
| DOI: | 10.3390/jcm9113500 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5c7e82d2aa53a7a122e8fbf829b84a8a |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....5c7e82d2aa53a7a122e8fbf829b84a8a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20770383 |
|---|---|
| DOI: | 10.3390/jcm9113500 |