Abstract:
:Dislocation of the elbow associated with radial head and coronoid fracture, the so-called "terrible triad" of the elbow, is challenging to treat and has a history of complicated outcomes. However, advances in the knowledge of elbow kinematics combined with improved implants and surgical techniques during the past few years have led to the development of standard surgical protocols. This review article analyses the results in 137 elbow triad injuries of five studies treated using the current protocols. These include fixation of the coronoid fracture, repair or replacement the radial head, and repair of the lateral ligament complex, reserving medial collateral ligament repair and application of hinged external fixation for patients with residual instability. Treatment of these demanding injuries appeared effective in the majority of cases, i.e. with an average of 31 months of follow-up, overall flexion arc was 111.4°, averaged flexion was 132.5° with forearm rotation of 135.5°, Mayo elbow performance score was 85.6 points, and Broberg-Morrey score was 85 points. Nevertheless, the patient should be informed about the incidence of complications including joint stiffness, ulnar nerve symptoms or post-traumatic arthritis.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Rodriguez-Martin J,Pretell-Mazzini J,Andres-Esteban EM,Larrainzar-Garijo Rdoi
10.1007/s00264-010-1024-6subject
Has Abstractpub_date
2011-06-01 00:00:00pages
851-60issue
6eissn
0341-2695issn
1432-5195journal_volume
35pub_type
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
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更新日期:2020-09-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
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更新日期:2014-04-01 00:00:00
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pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2005-10-01 00:00:00
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更新日期:2001-01-01 00:00:00
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更新日期:2016-07-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2009-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1979-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2009-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2011-07-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2014-03-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1994-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
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更新日期:2018-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-10-01 00:00:00
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pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2015-03-01 00:00:00
abstract::To measure the strength of the juxta-articular trabecular bone in knee replacement, an osteopenetrometer was developed. The principle of its function is tha a needle penetrates the bony tissue and during this penetration the pressure on and the displacement of the needle is registered. The instrument was tested on cad...
journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1981-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to examine the effect of subperiosteal injection of chondroinductive growth factors on the histological and biomechanical outcome of autologous osteoperiosteal grafts. METHODS:Thirty six standardised osteochondral defects were created in the trochlear groove of 18 Göttinger Minipi...
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