The effect of medial side repair in terrible triad injury of the elbow

Toros, Tulgar; Ozaksar, Kemal; Sügün, Tahir Sadık; Kayalar, Murat; Bal, Emin; Ada, Sait

doi:10.3944/aott.2012.2632

Cited by 35 publications

(38 citation statements)

References 17 publications

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“…In the study reported by Toros et al [23], 6 of 16 (37.5%) patients experienced grade I arthrosis. In the study reported by Garrigues et al [22], 5 of 40 (12.5%) patients experienced heterotropic ossification.…”

Section: Resultsmentioning

confidence: 83%

“…The proportion of patients who required reoperation ranged from 0 to 54.5%, with most studies reporting that approximately 30% of patients experienced the need for reoperation. No patients required reoperation in 3 studies [15], [16], [23]. Overall, 70 of 312 (22.4%) patients experienced complications requiring reoperation.…”

Section: Resultsmentioning

confidence: 98%

“…Two studies [21], [23] reported that mean scores excellent, whereas mean scores in the remainder of the studies were good. Overall, for the studies reporting individual patient results (N = 155 patients), 61 (39%) patients had excellent scores, 66 (43%) had good scores, 23 (15%) had fair scores, and 5 (3%) had poor scores.…”

Section: Resultsmentioning

confidence: 99%

“…This is despite the publication of an algorithm for the surgical management of TTIE and excellent review on the topic by Mathew et al in 2009 [2]. Interestingly, 3 studies did not report that any patients required reoperation for the management of complications [15], [16], [23]. Two of these studies [16], [23], however, included a small number (≤16) of patients.…”

Section: Discussionmentioning

confidence: 99%

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Complications of Treating Terrible Triad Injury of the Elbow: A Systematic Review

Chen¹,

Liu

2014

PLoS ONE

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ObjectiveTerrible triad injury of the elbow (TTIE), comprising elbow dislocation with radial head and coronoid process fracture, is notoriously challenging to treat and has typically been associated with complications and poor outcomes. The objective of this systematic review was to summarize the most recent available evidence regarding functional outcomes and complications following surgical management of TTIE.MethodsMedline, EMBASE, Cochrane Library, and Google Scholar were searched to identify relevant studies, which were included if they were retrospective or prospective in design, involved participants who had TTIE, and were published in English. Outcomes of interest were functional outcomes and complications.ResultsSixteen studies, involving 312 patients, were included in the systematic review. Mean follow up after surgery was typically 25 to 30 months. Mean Mayo elbow performance scores ranged from 78 to 95. Mean Broberg-Morrey scores ranged from 76 to 90. Mean DASH scores ranged from 9 to 31. The proportion of patients who required reoperation due to complications ranged from 0 to 54.5% (overall = 70/312 [22.4%]). Most of these complications were related to hardware fixation problems, joint stiffness, joint instability, and ulnar neuropathy. The most common complications that did not require reoperation were heterotopic ossification (39/312 [12.5%] patients) and arthrosis (35/312 [11.2%] patients).ConclusionsThe results of this systematic review indicate that functional outcomes after surgery for TTIE are generally satisfactory and that complications are common. Further research is warranted to determine which surgical techniques optimize functional outcomes and reduce the risk of complications.

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Section: Resultsmentioning

confidence: 83%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Complications of Treating Terrible Triad Injury of the Elbow: A Systematic Review

Chen¹,

Liu

2014

PLoS ONE

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“…There are reports that in those patients who do not have an MCL repair, there are higher rates of ulnar nerve irritation and need for subsequent ulnar nerve surgery. 20,21 In acute injuries there may be a rupture of the flexorpronator muscle mass. Management depends on the level of instability.…”

Section: Repairmentioning

confidence: 99%

Management of Dislocations of the Elbow in the Athlete

McGuire

Bain

2014

Sports Medicine and Arthroscopy Review

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The elbow is the second most commonly dislocated large joint and occurs with more frequency in sports men and women than in the general population. Understanding the normal anatomy, the mechanism of injury and the pathoanatomy of the injury to the soft tissue restraints about the elbow are important for obtaining a good result. Most elbow dislocations are stable once reduced and may be treated conservatively. However, if the elbow remains unstable then surgical treatment of the medial and lateral collateral ligament complexes is recommended. Repair using tensionable anchors allows the surgeon to tension both medial and lateral sides sequentially in a controlled manner, and allows assessment of range and stability during the tensioning process. Once stability to the elbow has been restored, early active mobilization can be initiated, with the aim of returning to sport as soon as possible.

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Analysis of twenty-five cases of terrible triad injury of the elbow surgically treated with a single lateral approach

Hou

Liang

Fan

et al. 2020

International Orthopaedics (SICOT)

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The effect of medial side repair in terrible triad injury of the elbow

Abstract: Ulnar neuropathy is a common complication after medial collateral ligament injury and prophylactic release will facilitate overall results and postoperative patient satisfaction.

Cited by 35 publications

References 17 publications

Complications of Treating Terrible Triad Injury of the Elbow: A Systematic Review

Complications of Treating Terrible Triad Injury of the Elbow: A Systematic Review

Management of Dislocations of the Elbow in the Athlete

Analysis of twenty-five cases of terrible triad injury of the elbow surgically treated with a single lateral approach

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