Abstract：
PURPOSE:To report outcomes in 6 patients with the terrible triad of the elbow treated with our modified protocol. METHODS:6 men aged 26 to 54 years underwent surgery for the terrible triad of the elbow by a single surgeon. All the patients had a displaced comminuted fracture of the radius, posterior dislocation of the elbow, and Morrey type-I fracture of the coronoid. They all underwent replacement of the radial head and repair of the lateral collateral ligament to the isometric part of the lateral condyle using suture anchors. Five had an additional capsular fixation to the anterior coronoid using suture anchors; in patient 6 the coronoid was not repaired because it was stable. Functional outcomes were evaluated using the Hospital for Special Surgery (HSS) elbow assessment score. Bone union, implant loosening, heterotopic ossification, and degenerative changes were assessed using anteroposterior and lateral radiographs. RESULTS:After a mean follow-up of 2.2 (range, 1-3) years, the mean arc of flexion-extension was 116 degrees and the mean flexion contracture was 15 degrees. All patients maintained a concentric reduction of both the ulnotrochlear and the radiocapitellar articulation, with isometric fixation of the lateral collateral ligament. No patient had dislocation of the radial-head prosthesis. All had good-to-excellent HSS elbow scores, and none required re-operation. Patient 2 had neuropraxia of the radial nerve, which recovered within 3 months. Patient 4 had a range of movement of only 20 to 100 degrees, but was satisfied with the outcome. CONCLUSION:Repair of the articular capsule using suture anchors in addition to replacement of the radial head and repair of the lateral collateral ligament achieves favourable outcome in patients with the terrible triad of the elbow.
journal_name
J Orthop Surg (Hong Kong)journal_title
Journal of orthopaedic surgery (Hong Kong)authors
Pai V,Pai Vdoi
10.1177/230949900901700108subject
Has Abstractpub_date
2009-04-01 00:00:00pages
31-5issue
1eissn
1022-5536issn
2309-4990journal_volume
17pub_type
杂志文章abstract：INTRODUCTION:The web version of Fracture Risk Assessment (FRAX) tool is widely used in many countries to predict the 10-year probability of major osteoporotic fracture (MF) and hip fracture (HF) rate. However, other FRAX tools, calculator older version (first generation), calculator new version (second generation), and...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499020917276
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abstract：PURPOSE:To evaluate the incidence of secondary hyperparathyroidism (SH) among postmenopausal women with end-stage knee osteoarthritis scheduled for total knee replacement (TKR). METHODS:283 Caucasian postmenopausal women aged 49 to 81 (mean, 70) years with end-stage idiopathic knee osteoarthritis were scheduled to und...
journal_title：Journal of orthopaedic surgery (Hong Kong)
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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abstract：PURPOSE:To evaluate the effect of preoperative comorbidity status (defined by the Deyo index) on hospital mortality, postoperative complications, length of hospital stay, and hospital costs for shoulder arthroplasty patients. METHODS:The overall mean hospital mortality and postoperative complication rates, and length ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
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doi：10.1177/230949900801600212
更新日期：2008-08-01 00:00:00
abstract：:PURPOSE. To investigate consultant surgeons' knowledge about the costs of implants for various joint surgeries. METHODS. Questionnaires were distributed to consultant orthopaedic surgeons at 2 hospitals. Respondents were asked to estimate the implant costs of any brand for low-demand and high-demand total hip replacem...
journal_title：Journal of orthopaedic surgery (Hong Kong)
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doi：10.1177/230949901402200222
更新日期：2014-08-01 00:00:00
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journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,多中心研究
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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更新日期：2016-12-01 00:00:00
abstract：PURPOSE:To review the one-year outcome after volar locking plate fixation for distal radial fractures. METHODS:Records of 22 men and 40 women aged 17 to 86 (mean, 52.5) years who underwent volar locking plate fixation for distal radial fractures were reviewed. According to the Fernandez classification, the distal radi...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901502300313
更新日期：2015-12-01 00:00:00
abstract：:We present 4 cases of facet cyst haematoma in the ligamentum flavum of the lumbar spine. All patients presented with a one-to-3-month history of back pain or numbness in the legs, and sudden neurological deterioration. One also developed cauda equina syndrome and another developed radiculopathy. In all cases, magnetic...
journal_title：Journal of orthopaedic surgery (Hong Kong)
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更新日期：2009-04-01 00:00:00
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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更新日期：2010-12-01 00:00:00
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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更新日期：2011-12-01 00:00:00
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,评审
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更新日期：2015-04-01 00:00:00
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journal_title：Journal of orthopaedic surgery (Hong Kong)
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更新日期：2018-05-01 00:00:00
abstract：:Pigmented villonodular synovitis of the elbow is rare and even rarer in children. We report a case of pigmented villonodular synovitis of the elbow in a 6-year-old girl who underwent total synovectomy after the diagnosis was confirmed by biopsy. The osteochondral defect at the olecranon was filled with calcium phospha...
journal_title：Journal of orthopaedic surgery (Hong Kong)
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更新日期：2007-04-01 00:00:00
abstract：:The National Institute for Health and Clinical Excellence (NICE) guidelines recommend combined mechanical and pharmacological prophylaxis to reduce the risk of venous thromboembolism (VTE) in patients undergoing orthopaedic surgery. There is increasing evidence that anti-embolic stockings (AES) have little effect on r...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,评审
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更新日期：2013-12-01 00:00:00
abstract：PURPOSE:To evaluate the incidence and risk factors of periprosthetic joint infection (PJI) in patients undergoing total knee arthroplasty (TKA) in a high-volume hospital. METHODS:Records of 1133 primary TKAs were reviewed. Correlation between surgery volume and infection rate was determined. Risk factors for PJI were ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901502300303
更新日期：2015-12-01 00:00:00
abstract：AIM:To investigate the diagnosis and treatment methods of soft tissue involvement of hydatid cysts (HCs). MATERIALS AND METHODS:Eleven patients who were diagnosed as having HC with muscular tissue (soft tissue) involvement between 2010 and 2016 were evaluated retrospectively. Seven patients had typical HC magnetic res...
journal_title：Journal of orthopaedic surgery (Hong Kong)
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更新日期：2019-09-01 00:00:00
