Journal of Research in Orthopedic Science
1
J. Res. Orthop. Sci.
Medical Sciences
http://jros.iums.ac.ir
1
admin
2676-7031
2676-7031
8
7
14
8888
13
en
jalali
1398
8
1
gregorian
2019
11
1
6
4
online
1
fulltext
en
Comparison of Radial Head Resection With Radial Head Fixation in the Terrible Triad Injury of the Elbow
جراحی دست / آرنج
Hand surgery / Elbow
پژوهشی
Research Article
<div style="text-align: justify;"><strong>Background: </strong>The optimal treatment of radial head component in the terrible triad injuries of the elbow is challenging. In this study, we compared the functional outcome and complication rates of radial head resection with radial head fixation in a terrible triad setting.<br>
Objectives: Comparison of radial head resection with radial head fixation in terrible triad. <br>
<strong>Methods: </strong>In the present retrospective study, the outcome of terrible triad injury in 41 patients, in whom the radial head component was managed with either radial head resection (n=28) or open reduction and internal fixation (n=13), was compared. The subjective assessments of the outcome included visual analog scale (VAS) for pain, ‎the Mayo elbow performance score (MEPS), and the disabilities of the arm, shoulder, and ‎hand (DASH) score. The objective assessment of outcome included the evaluation of elbow range of motion (ROM) and elbow stability.<br>
<strong>Results:</strong> The mean±SD age of the patients was 39.2±10.2 years. The demographic characteristics of the patients of the two study groups were not statistically different. The mean supination/pronation arc of motion was not significantly different between the two ‏study groups (P=0.11). The mean flexion/extension arc of motion was significantly more in the fixation group (P=0.001). The mean MEPS and DASH scores were not ‏significantly different between the study groups (P=0.22 and P=0.49, respectively). The mean ‏VAS was significantly more in the fixation group (P=0.04). All the elbows were stable at the last follow-up. The postoperative complications (arthrosis and heterotopic ossification) were considerably more in the resection group.<br>
<strong>Conclusion:</strong> Although comparable at function, the present study favors the radial head fixation whenever possible to avoid the postoperative complications of radial head reaction.</div>
Terrible triad, Radial head, Resection, Fixation
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http://jros.iums.ac.ir/browse.php?a_code=A-10-665-4&slc_lang=en&sid=1
Farid
Najd Mazhar
fnajdmazhar@yahoo.com
10031947532846004032
10031947532846004032
No
Department of Orthopedic Surgery, Bone and Joint Reconstruction Research Center, Shafa Yahyaian Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Hooman
Shariatzadeh
shariatzadeh_h@hotmail.com
10031947532846004033
10031947532846004033
No
Department of Orthopedic Surgery, Bone and Joint Reconstruction Research Center, Shafa Yahyaian Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Hanon
Sadony
dr.sadony@gmail.com
10031947532846004034
10031947532846004034
Yes
Department of Orthopedic Surgery, Bone and Joint Reconstruction Research Center, Shafa Yahyaian Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Nima
Bagheri
nima.bagheri56@gmail.com
10031947532846004035
10031947532846004035
No
Department of Orthopedic Surgery, Bone and Joint Reconstruction Research Center, Shafa Yahyaian Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Hojatolah
Ebrahimy
hojatolahebrahimy@gmail.com
10031947532846004036
10031947532846004036
No
Department of Orthopedic Surgery, Bone and Joint Reconstruction Research Center, Shafa Yahyaian Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.