Management of elbow stiffness after postoperative treatment of terrible triad elbow injury: maintaining mobility and stability using a combined protocol

Cui, Hao; Yu, Yaling; He, Yu; Cheng, Yuan; Liu, Jiazhi; Zheng, Wei; Chen, Shuai; Fan, Cunyi

doi:10.1007/s00264-017-3721-x

Cited by 11 publications

(4 citation statements)

References 24 publications

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“…Zheng et al performed a retrospective study involving patients with post-traumatic elbow stiffness and found that high-energy injuries were associated with the development of severe elbow stiffness [9]. Cui et al reported that the ranges of motion of the elbow can be improved using open release combined with external fixation and that stability can be strengthened using ligament repair in patients with the terrible triad injury, no matter if the radial head was resected or replaced in previous treatments [11].…”

Section: Yingze Zhangmentioning

confidence: 99%

Prominent and fruitful development of orthopaedic research in China

Wei

Zhang

2018

International Orthopaedics (SICOT)

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Section: Yingze Zhangmentioning

confidence: 99%

Prominent and fruitful development of orthopaedic research in China

Wei

Zhang

2018

International Orthopaedics (SICOT)

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“…terrible triad of the elbow, are particularly demanding. Protocols involving extensive arthrolysis, radial head excision and temporary external fixation have been elaborated [22,23]. Due to the complexity of elbow injuries, optimal treatment of their sequelae varies among different centres according to the individual experience [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

The column procedure preserves elbow stability on biomechanical testing

Podgórski

Kordasiewicz

Pomianowski

2020

International Orthopaedics (SICOT)

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The effect of open release of a post-traumatic elbow contracture on the stability of the joint has not been so far studied in vivo. Resection of elbow joint capsule, the key element of surgery, was reported to have no effect on the stability of cadaveric elbows. The joint capsule is yet known to participate in maintaining elbow stability as one of secondary stabilizers. Methods We assessed elbow joint laxity in 39 patients who underwent an open contracture release via the 'column procedure' described by B. Morrey and P. Mansat within the preceeding three to nine months. The measurements were taken with an apparatus designed particularly for this experiment according to the predetermined protocol. A preliminary part of the experiment showed that there was no significant difference between laxity of two elbow joints in healthy volunteers. Laxity of the operated elbows could be then compared with the contralateral joints. Results Mean absolute difference of laxity between healthy and operated elbows was 1.55°(0.1°-4.1°, SD = 1.1) being significantly lower than 2°, p = 0.0056. The difference of the joint laxity between the operated and healthy elbows did not differ statistically significantly by more than 0.6°from the difference of the laxity of two healthy elbows and, therefore, is not clinically noticeable. Conclusions Our experiment confirmed that the 'column procedure' is a safe procedure which does not compromise the stability of the elbow joint.

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“…This is a high trauma injury caused by axial forces on a hyperextended elbow in supination [2]. This in turn will cause exaggerated elbow valgus that will ultimately lead to elbow instability [3].This condition accounts for 4% of all adult radial head fractures and 31% of elbow dislocations. The name associated with this injury reflects the bad outcomes that accompanied this injury despite surgical management [4,5].…”

Section: Introductionmentioning

confidence: 99%