Research Article
BibTex RIS Cite
Year 2023, Volume: 9 Issue: 4, 737 - 742, 04.07.2023
https://doi.org/10.18621/eurj.1135033

Abstract

References

  • 1. Hotchkiss R. Fracture and dislocation of the elbow. In: Rockwood CA, Green DP, eds., Rockwood and Green’s Fractures in Adults, 4th ed., Lippincott: Philadelphia, 1996.
  • 2. Mathew PK, Athwal GS, King GJW. Terrible triad injury of the elbow: current concepts. J Am Acad Orthop Surg 2009;17:137-51
  • 3. Kani KK, Chew FS. Terrible triad injuries of the elbow. Emerg Radiol 2019;26:341-7.
  • 4. Chen HW, Liu GD, Wu LJ. Complications of treating terrible triad injury of the elbow: a systematic review. PLoS One 2014;9:e97476.
  • 5. Pugh DMW, Wild LM, Schemitsch EH, King GJW, McKee MD. Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. J Bone Joint Surg Am 2004;86:1122-30.
  • 6. Schneeberger AG, Sadowski MM, Jacob HAC. Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow. J Bone Joint Surg 2004;86:975-82.
  • 7. Jeong WK, Oh JK, Hwang JH, Hwang SM, Lee WS. Results of terrible triads in the elbow: the advantage of primary restoration of the medial structure. J Orthop Sci 2010;15:612-9.
  • 8. Wyrick JD, Dailey SK, Gunzenhaeuser JM, Christopher Casstevens E. Management of complex elbow dislocations: a mechanistic approach. J Am Acad Orthop Surg 2015;23:297-306.
  • 9. Lindenhovius ALC, Jupiter JB, Ring D. Comparison of acute versus subacute treatment of terrible triad injuries of the elbow. J Hand Surg Am 2008;33:920-8.
  • 10. Pierrart J, Bégué T, Mansat P. Terrible triad of the elbow: treatment protocol and outcome in a series of eighteen cases. Injury 2015;46 Suppl 1:S8-12.
  • 11. Ostergaard PJ, Tarabochia MA, Hall MJ, Dyer G, Earp BE, Blazar P, et al. What factors are associated with reoperation after operative treatment of terrible triad injuries? Clin Orthop Relat Res 2021;479:119-25.
  • 12. Domos P, Griffiths E, White A. Outcomes following surgical management of complex terrible triad injuries of the elbow: a single surgeon case series. Shoulder Elb 2018;10:216-22.
  • 13. Najd Mazhar F, Jafari D, Mirzaei A. Evaluation of functional outcome after nonsurgical management of terrible triad injuries of the elbow. J Shoulder Elb Surg 2017;26:1342-7.
  • 14. Zhang J, Tan M, Kwek EBK. Outcomes of coronoid-first repair in terrible triad injuries of the elbow. Arch Orthop Trauma Surg 2017;137:1239-45.
  • 15. Papatheodorou LK, Rubright JH, Heim KA, Weiser RW, Sotereanos DG. Terrible triad injuries of the elbow: does the coronoid always need to be fixed? Clin Orthop Relat Res  2014;472:2084-91
  • 16. Chemama B, Bonnevialle N, Peter O, Mansat P, Bonnevialle P. Terrible triad injury of the elbow: how to improve outcomes? Orthop Traumatol Surg Res 2010;96:147-54.
  • 17. Schindelar LE, Sherman M, Ilyas AM. Comparison of surgical techniques for fixation of terrible triad injuries of the elbow: a meta-analysis. Orthopaedics 2020;43:328-32.
  • 18. Vovos T, Blizzard DJ, Garrigues G. Management of terrible triad injuries of the elbow. Duke Orthop J 2015;5:28-34.
  • 19. Shukla DR, Pillai G, McAnany S, Hausman M, Parsons BO. Heterotopic ossification formation after fracture-dislocations of the elbow. J Shoulder Elb Surg 2015;24:333-8.
  • 20. Zhou C, Lin J, Xu J, Lin R, Chen K, Sun S. Does timing of surgery affect treatment of the terrible triad of the elbow? Med Sci Monit 2018;24:4745-52.
  • 21. Schnetzke M, Porschke F, Kneser U, Studie5r-Fischer S, Grützner P-A, Guehring T. Functional outcomes and complications of open elbow dislocations. Obere Ekstrem 2018;13:204-10.

The effect of early surgical treatment on functional outcomes in terrible triad of elbow: a comparative study

Year 2023, Volume: 9 Issue: 4, 737 - 742, 04.07.2023
https://doi.org/10.18621/eurj.1135033

Abstract

Objectives: In our study, we aimed to evaluate the effect of early surgical treatment on functional results in the terrible triad of the elbow.

Methods: Fifty-four patients operated for the terrible triad of elbow (TTE) injuries were included in the study. The study groups were determined as Group A (operated within 24 hours) and Group B (operated after one week). The same surgical procedure and rehabilitation program were applied to all patients. The follow-up period was 16.4 ± 8.4, with a minimum of 6 months. In the last follow-up, the flexion-extension range and supination-pronation interval were evaluated. Mayo Elbow Performance Score (MEPS) and Oxford Elbow Score were used for functional scoring.

Results: There was no significant difference between the two groups in terms of age, gender, injury type, and fracture classification. Elbow motion in group A was higher than in group B (p < 0.01). Moreover, group A had better higher MEPS and Oxford Elbow Score, an excellent and good rate than group B at the final clinical visit (p < 0.01). No postoperative pain or complication rate differences were found between the two groups.

Conclusions: Early operation for TTE patients resulted in better functional recovery than delayed operation.

References

  • 1. Hotchkiss R. Fracture and dislocation of the elbow. In: Rockwood CA, Green DP, eds., Rockwood and Green’s Fractures in Adults, 4th ed., Lippincott: Philadelphia, 1996.
  • 2. Mathew PK, Athwal GS, King GJW. Terrible triad injury of the elbow: current concepts. J Am Acad Orthop Surg 2009;17:137-51
  • 3. Kani KK, Chew FS. Terrible triad injuries of the elbow. Emerg Radiol 2019;26:341-7.
  • 4. Chen HW, Liu GD, Wu LJ. Complications of treating terrible triad injury of the elbow: a systematic review. PLoS One 2014;9:e97476.
  • 5. Pugh DMW, Wild LM, Schemitsch EH, King GJW, McKee MD. Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. J Bone Joint Surg Am 2004;86:1122-30.
  • 6. Schneeberger AG, Sadowski MM, Jacob HAC. Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow. J Bone Joint Surg 2004;86:975-82.
  • 7. Jeong WK, Oh JK, Hwang JH, Hwang SM, Lee WS. Results of terrible triads in the elbow: the advantage of primary restoration of the medial structure. J Orthop Sci 2010;15:612-9.
  • 8. Wyrick JD, Dailey SK, Gunzenhaeuser JM, Christopher Casstevens E. Management of complex elbow dislocations: a mechanistic approach. J Am Acad Orthop Surg 2015;23:297-306.
  • 9. Lindenhovius ALC, Jupiter JB, Ring D. Comparison of acute versus subacute treatment of terrible triad injuries of the elbow. J Hand Surg Am 2008;33:920-8.
  • 10. Pierrart J, Bégué T, Mansat P. Terrible triad of the elbow: treatment protocol and outcome in a series of eighteen cases. Injury 2015;46 Suppl 1:S8-12.
  • 11. Ostergaard PJ, Tarabochia MA, Hall MJ, Dyer G, Earp BE, Blazar P, et al. What factors are associated with reoperation after operative treatment of terrible triad injuries? Clin Orthop Relat Res 2021;479:119-25.
  • 12. Domos P, Griffiths E, White A. Outcomes following surgical management of complex terrible triad injuries of the elbow: a single surgeon case series. Shoulder Elb 2018;10:216-22.
  • 13. Najd Mazhar F, Jafari D, Mirzaei A. Evaluation of functional outcome after nonsurgical management of terrible triad injuries of the elbow. J Shoulder Elb Surg 2017;26:1342-7.
  • 14. Zhang J, Tan M, Kwek EBK. Outcomes of coronoid-first repair in terrible triad injuries of the elbow. Arch Orthop Trauma Surg 2017;137:1239-45.
  • 15. Papatheodorou LK, Rubright JH, Heim KA, Weiser RW, Sotereanos DG. Terrible triad injuries of the elbow: does the coronoid always need to be fixed? Clin Orthop Relat Res  2014;472:2084-91
  • 16. Chemama B, Bonnevialle N, Peter O, Mansat P, Bonnevialle P. Terrible triad injury of the elbow: how to improve outcomes? Orthop Traumatol Surg Res 2010;96:147-54.
  • 17. Schindelar LE, Sherman M, Ilyas AM. Comparison of surgical techniques for fixation of terrible triad injuries of the elbow: a meta-analysis. Orthopaedics 2020;43:328-32.
  • 18. Vovos T, Blizzard DJ, Garrigues G. Management of terrible triad injuries of the elbow. Duke Orthop J 2015;5:28-34.
  • 19. Shukla DR, Pillai G, McAnany S, Hausman M, Parsons BO. Heterotopic ossification formation after fracture-dislocations of the elbow. J Shoulder Elb Surg 2015;24:333-8.
  • 20. Zhou C, Lin J, Xu J, Lin R, Chen K, Sun S. Does timing of surgery affect treatment of the terrible triad of the elbow? Med Sci Monit 2018;24:4745-52.
  • 21. Schnetzke M, Porschke F, Kneser U, Studie5r-Fischer S, Grützner P-A, Guehring T. Functional outcomes and complications of open elbow dislocations. Obere Ekstrem 2018;13:204-10.
There are 21 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Original Articles
Authors

Barış Acar 0000-0001-8073-3471

Engin Çarkçı 0000-0002-3918-4498

Selman Sert 0000-0003-2009-6874

Early Pub Date June 1, 2023
Publication Date July 4, 2023
Submission Date June 26, 2022
Acceptance Date October 31, 2022
Published in Issue Year 2023 Volume: 9 Issue: 4

Cite

AMA Acar B, Çarkçı E, Sert S. The effect of early surgical treatment on functional outcomes in terrible triad of elbow: a comparative study. Eur Res J. July 2023;9(4):737-742. doi:10.18621/eurj.1135033

e-ISSN: 2149-3189 


The European Research Journal, hosted by Turkish JournalPark ACADEMIC, is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

by-nc-nd.png

2024