Evaluation of the results from surgical treatment of the terrible triad of the elbow,
OBJECTIVE: to evaluate the results from surgical treatment of the terrible triad of the elbow (fracture of the radial head, fracture of the coronoid process and elbow dislocation) and its complications.METHODS: between August 2002 and August 2010, 15 patients (15 elbows) with the terrible triad were...
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Sociedade Brasileira de Ortopedia e Traumatologia
2014-06-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000300271&lng=en&tlng=en |
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| author | Alberto Naoki Miyazaki Caio Santos Checchia Lorenzo Fagotti Marcelo Fregoneze Pedro Doneux Santos Luciana Andrade da Silva Guilherme do Val Sella Sergio Luiz Checchia |
| author_facet | Alberto Naoki Miyazaki Caio Santos Checchia Lorenzo Fagotti Marcelo Fregoneze Pedro Doneux Santos Luciana Andrade da Silva Guilherme do Val Sella Sergio Luiz Checchia |
| author_sort | Alberto Naoki Miyazaki |
| collection | DOAJ |
| description | OBJECTIVE: to evaluate the results from surgical treatment of the terrible triad of the elbow (fracture of the radial head, fracture of the coronoid process and elbow dislocation) and its complications.METHODS: between August 2002 and August 2010, 15 patients (15 elbows) with the terrible triad were treated by the Shoulder and Elbow Group of the Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo. Nine (60%) were male and six (40%) were female; their ages ranged from 21 to 66 years, with a mean of 41 years. With the exception of one case that underwent arthroscopic surgery, all the patients underwent open surgery. The fracture of the coronoid process was fixed in 10 patients (66.7%). The fracture of the radial head was treated by means of internal osteosynthesis in 11 cases (73.3%); in three cases (20%), the radial head was resected; and in one case, only the fragment of the fracture was resected. The collateral ligaments, except for one case, were repaired whenever they were found to be injured; ten cases (66.7%) of medial collateral injury and 15 (100%) of lateral collateral injury were found. The mean length of the postoperative follow-up was 62 months, with a minimum of 12 months. The postoperative evaluation was done by means of the Bruce score.RESULTS: more than 80% of the patients recovered their functional ranges of motion but, according to the Bruce score, only 26% of the patients achieved results that were considered satisfactory.CONCLUSION: despite the unsatisfactory results, the functional ranges of motion and elbow function could be restored. |
| first_indexed | 2024-03-08T07:54:29Z |
| format | Article |
| id | doaj.art-2d8d33e7284840ed8ad6a44caae15be7 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T07:54:29Z |
| publishDate | 2014-06-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-2d8d33e7284840ed8ad6a44caae15be72024-02-02T14:02:33ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782014-06-0149327127810.1016/j.rboe.2014.03.006S0102-36162014000300271Evaluation of the results from surgical treatment of the terrible triad of the elbow,Alberto Naoki MiyazakiCaio Santos ChecchiaLorenzo FagottiMarcelo FregonezePedro Doneux SantosLuciana Andrade da SilvaGuilherme do Val SellaSergio Luiz ChecchiaOBJECTIVE: to evaluate the results from surgical treatment of the terrible triad of the elbow (fracture of the radial head, fracture of the coronoid process and elbow dislocation) and its complications.METHODS: between August 2002 and August 2010, 15 patients (15 elbows) with the terrible triad were treated by the Shoulder and Elbow Group of the Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo. Nine (60%) were male and six (40%) were female; their ages ranged from 21 to 66 years, with a mean of 41 years. With the exception of one case that underwent arthroscopic surgery, all the patients underwent open surgery. The fracture of the coronoid process was fixed in 10 patients (66.7%). The fracture of the radial head was treated by means of internal osteosynthesis in 11 cases (73.3%); in three cases (20%), the radial head was resected; and in one case, only the fragment of the fracture was resected. The collateral ligaments, except for one case, were repaired whenever they were found to be injured; ten cases (66.7%) of medial collateral injury and 15 (100%) of lateral collateral injury were found. The mean length of the postoperative follow-up was 62 months, with a minimum of 12 months. The postoperative evaluation was done by means of the Bruce score.RESULTS: more than 80% of the patients recovered their functional ranges of motion but, according to the Bruce score, only 26% of the patients achieved results that were considered satisfactory.CONCLUSION: despite the unsatisfactory results, the functional ranges of motion and elbow function could be restored.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000300271&lng=en&tlng=enCotovelo/lesõesCotovelo/cirurgiaFixação interna de fraturas |
| spellingShingle | Alberto Naoki Miyazaki Caio Santos Checchia Lorenzo Fagotti Marcelo Fregoneze Pedro Doneux Santos Luciana Andrade da Silva Guilherme do Val Sella Sergio Luiz Checchia Evaluation of the results from surgical treatment of the terrible triad of the elbow, Revista Brasileira de Ortopedia Cotovelo/lesões Cotovelo/cirurgia Fixação interna de fraturas |
| title | Evaluation of the results from surgical treatment of the terrible triad of the elbow, |
| title_full | Evaluation of the results from surgical treatment of the terrible triad of the elbow, |
| title_fullStr | Evaluation of the results from surgical treatment of the terrible triad of the elbow, |
| title_full_unstemmed | Evaluation of the results from surgical treatment of the terrible triad of the elbow, |
| title_short | Evaluation of the results from surgical treatment of the terrible triad of the elbow, |
| title_sort | evaluation of the results from surgical treatment of the terrible triad of the elbow |
| topic | Cotovelo/lesões Cotovelo/cirurgia Fixação interna de fraturas |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000300271&lng=en&tlng=en |
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