Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis
Objective: To find out which surgical approach, optimize the functional outcomes and reduce the risk of complications.<br />Methods: Medline, EMBASE, Cochrane Library, and Google Scholar were searched to identify relevant studies, which were included if they were retrospective or prospective i...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2020-01-01
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| Series: | Bulletin of Emergency and Trauma |
| Subjects: | |
| Online Access: | http://beat.sums.ac.ir/article_46346_4bf366d59917382a70344dd21b244c64.pdf |
| _version_ | 1818024712729526272 |
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| author | Mukesh Meena Karmbeer Singh Sanjay Meena Chetan Kumbhare Dushyant Chouhan |
| author_facet | Mukesh Meena Karmbeer Singh Sanjay Meena Chetan Kumbhare Dushyant Chouhan |
| author_sort | Mukesh Meena |
| collection | DOAJ |
| description | Objective: To find out which surgical approach, optimize the functional outcomes and reduce the risk of complications.<br />Methods: Medline, 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 terrible triad of elbow (TTIE) that compared lateral approach (LA) with combined lateral and anteromedial approach (CML), and were published in English. Outcomes of interest were functional outcomes, complications, and operative time.<br />Results: Four studies, involving 470 patients were included in the systematic review. Mean follow up after surgery was typically 24 to 30 months. We found significant more range of motion (ROM) of elbow in CML as compared to LA group (MD: -14.21, 95% CI: -21.13 to-7.29, p<0.00001). There was significant more forearm rotation in CML as compared to LA group (MD: -18.88, 95% CI: -32.35 to -5.40, p<0.00001). Mayo elbow performance score (MEPS) was significantly more in CML (MD: -3.31, 95% CI: -7.23 to 0.62, p=0.00001). Blood loss, operative time, VAS and complications were more in CML group; however, the difference was not significant. The heterogeneity of the study and synthesizing retrospective data were the primary limitations.<br />Conclusion: Our analysis demonstrated that combined lateral and medial approach had significantly more elbow ROM and forearm rotation. The combined approach also had significantly more MEPS. However, using combined approach significantly increased the operative time. |
| first_indexed | 2024-12-10T04:04:35Z |
| format | Article |
| id | doaj.art-eada359e67df4ea7a82484b8549a9a84 |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-12-10T04:04:35Z |
| publishDate | 2020-01-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-eada359e67df4ea7a82484b8549a9a842022-12-22T02:02:53ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602020-01-01814910.29252/beat-08010246346Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-AnalysisMukesh Meena0Karmbeer Singh1Sanjay Meena2Chetan Kumbhare3Dushyant Chouhan4Lady Hardinge Medical College, New DelhiLady Hardinge Medical College, New DelhiLady Hardinge Medical College, New DelhiLady Hardinge Medical College, New DelhiLady Hardinge Medical College, New DelhiObjective: To find out which surgical approach, optimize the functional outcomes and reduce the risk of complications.<br />Methods: Medline, 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 terrible triad of elbow (TTIE) that compared lateral approach (LA) with combined lateral and anteromedial approach (CML), and were published in English. Outcomes of interest were functional outcomes, complications, and operative time.<br />Results: Four studies, involving 470 patients were included in the systematic review. Mean follow up after surgery was typically 24 to 30 months. We found significant more range of motion (ROM) of elbow in CML as compared to LA group (MD: -14.21, 95% CI: -21.13 to-7.29, p<0.00001). There was significant more forearm rotation in CML as compared to LA group (MD: -18.88, 95% CI: -32.35 to -5.40, p<0.00001). Mayo elbow performance score (MEPS) was significantly more in CML (MD: -3.31, 95% CI: -7.23 to 0.62, p=0.00001). Blood loss, operative time, VAS and complications were more in CML group; however, the difference was not significant. The heterogeneity of the study and synthesizing retrospective data were the primary limitations.<br />Conclusion: Our analysis demonstrated that combined lateral and medial approach had significantly more elbow ROM and forearm rotation. The combined approach also had significantly more MEPS. However, using combined approach significantly increased the operative time.http://beat.sums.ac.ir/article_46346_4bf366d59917382a70344dd21b244c64.pdfterrible triad of the elbowpostoperative complicationsoperative approaches |
| spellingShingle | Mukesh Meena Karmbeer Singh Sanjay Meena Chetan Kumbhare Dushyant Chouhan Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis Bulletin of Emergency and Trauma terrible triad of the elbow postoperative complications operative approaches |
| title | Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis |
| title_full | Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis |
| title_fullStr | Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis |
| title_full_unstemmed | Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis |
| title_short | Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis |
| title_sort | lateral approach versus combined lateral and anteromedial approach for surgical treatment of terrible triad of elbow a meta analysis |
| topic | terrible triad of the elbow postoperative complications operative approaches |
| url | http://beat.sums.ac.ir/article_46346_4bf366d59917382a70344dd21b244c64.pdf |
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