• 作者：D. Cecilia Ló ; pez ; ^{dacecilia@hotmail.com} ; L. Suá ; rez Arias ; M.A. Porras Moreno ; A. Dí ; az Martí ; n ; F. Jara Sá ; nchez ; C. Resines Erasun
• 关键词：Codo ; Trí ; ada ; Cabeza radio
• 刊名：Revista Espa帽ola de Cirug铆a Ortop茅dica y Traumatolog铆a
• 出版年：2010
• 期刊代码：pca311_18884415
• 类别：med
• 出版时间：November-December 2010
• 卷：54
• 期：6
• 页码：357-362
• 文件大小：738 K

lass="h4">Objective

To analyse the results in patients with the combination of elbow dislocation and fracture of the radial head and the coronoid process (or 芦terrible triad禄 of elbow) using a standardised protocol.

lass="h4">Material and methods

A prospective longitudinal study of 24 patients, 10 women and 14 men, median age was 53 years, diagnosed and operated of elbow triad using a standardised protocol The mean follow-up was two years (12鈥?0 months). Treatment included replacement or osteosynthesis of the radial head, repair or osteosynthesis of the coronoid fracture and ligament repair. The results were evaluated clinically using the Mayo scale Elbow Performance Score (MEPS) and radiographically.

lass="h4">Results

The final average mobility was 105掳 of flexion-extension and 150掳 of pronosupination. The average score according to the MEPS level was 85 (65鈥?00 points). No patient required re-intervention although there were two complications: one had a superficial infection and in another a residual fragment of the radial head remained that was not removed during surgery.

lass="h4">Conclusion

The treatment for the 芦terrible triad禄 of the elbow should maintain a stable joint, preserving or replacing the radial head, repairing the lateral collateral ligament complex, and synthesis of the coronoid fracture.