Primary Hinged External Fixation of Terrible Triad Injuries and Olecranon Fracture-Dislocations of the Elbow
This study aimed to introduce a new treatment that apples primary hinged external fixation for complex fracture-dislocations of the elbow in 12 cases. We retrospectively assessed the functional outcomes of eight patients with terrible triad injuries and three patients with an olecranon fracture-disl...
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| Veröffentlicht in: | Kurume medical journal 2016/07/31, Vol.63(1.2), pp.7-14 |
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| container_title | Kurume medical journal |
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| creator | SAKAI, KENSUKE SHIRAHAMA, MASAHIRO SHIBA, NAOTO YOSHIDA, KENJI YOSHIDA, SHIRO |
| description | This study aimed to introduce a new treatment that apples primary hinged external fixation for complex fracture-dislocations of the elbow in 12 cases. We retrospectively assessed the functional outcomes of eight patients with terrible triad injuries and three patients with an olecranon fracture-dislocation of the elbow, who were treated at our hospital using a primary hinged external fixator between June 2012 and December 2014. Ten patients underwent repair or replacement of the radial head, while three underwent repair of the olecranon. In principle, they were treated without reconstruction of the coronoid fracture and collateral ligament injury. The patients were evaluated for a mean follow-up period of 16 months after the initial surgery. Early mobilization was encouraged while the hinged external fixator was in place. At the follow-up, the mean Mayo Elbow Performance Score was 93 points; the results were “excellent” in six cases and “good” in five. No patients had recurrent elbow instability. Only one patient needed an additional procedure after the initial operation. These results suggested that primary hinged external fixation without repair of the ligament and soft tissue is an effective minimally invasive surgery for the management of terrible triad injuries and olecranon fracture-dislocations of the elbow. |
| doi_str_mv | 10.2739/kurumemedj.MS6300003 |
| format | Article |
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We retrospectively assessed the functional outcomes of eight patients with terrible triad injuries and three patients with an olecranon fracture-dislocation of the elbow, who were treated at our hospital using a primary hinged external fixator between June 2012 and December 2014. Ten patients underwent repair or replacement of the radial head, while three underwent repair of the olecranon. In principle, they were treated without reconstruction of the coronoid fracture and collateral ligament injury. The patients were evaluated for a mean follow-up period of 16 months after the initial surgery. Early mobilization was encouraged while the hinged external fixator was in place. At the follow-up, the mean Mayo Elbow Performance Score was 93 points; the results were “excellent” in six cases and “good” in five. No patients had recurrent elbow instability. Only one patient needed an additional procedure after the initial operation. These results suggested that primary hinged external fixation without repair of the ligament and soft tissue is an effective minimally invasive surgery for the management of terrible triad injuries and olecranon fracture-dislocations of the elbow.</description><identifier>ISSN: 0023-5679</identifier><identifier>EISSN: 1881-2090</identifier><identifier>DOI: 10.2739/kurumemedj.MS6300003</identifier><identifier>PMID: 28090003</identifier><language>eng</language><publisher>Japan: Kurume University School of Medicine</publisher><subject>Adult ; Aged ; Aged, 80 and over ; complex fracture-dislocation of the elbow ; coronoid process fracture ; Elbow - injuries ; Elbow - surgery ; Elbow Joint - injuries ; Elbow Joint - surgery ; External Fixators ; Female ; Follow-Up Studies ; Fracture Dislocation ; Fracture Fixation - methods ; Fractures, Bone - surgery ; Humans ; Joint Dislocations - surgery ; Joint Instability - physiopathology ; Male ; Middle Aged ; olecranon fracture-dislocation ; Olecranon Process - surgery ; primary hinged external fixation ; Radius - surgery ; Radius Fractures - surgery ; Range of Motion, Articular ; Retrospective Studies ; terrible triad injury ; Ulna - surgery ; Ulna Fractures - surgery ; Wrist Joint ; Young Adult</subject><ispartof>The Kurume Medical Journal, 2016/07/31, Vol.63(1.2), pp.7-14</ispartof><rights>2016 Kurume University School of Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6563-fa508fc59b21f23eb8dffdba8d6d872bda8e0749b62cca52aa6c748aea10da153</citedby><cites>FETCH-LOGICAL-c6563-fa508fc59b21f23eb8dffdba8d6d872bda8e0749b62cca52aa6c748aea10da153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28090003$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SAKAI, KENSUKE</creatorcontrib><creatorcontrib>SHIRAHAMA, MASAHIRO</creatorcontrib><creatorcontrib>SHIBA, NAOTO</creatorcontrib><creatorcontrib>YOSHIDA, KENJI</creatorcontrib><creatorcontrib>YOSHIDA, SHIRO</creatorcontrib><title>Primary Hinged External Fixation of Terrible Triad Injuries and Olecranon Fracture-Dislocations of the Elbow</title><title>Kurume medical journal</title><addtitle>Kurume Med. J.</addtitle><description>This study aimed to introduce a new treatment that apples primary hinged external fixation for complex fracture-dislocations of the elbow in 12 cases. We retrospectively assessed the functional outcomes of eight patients with terrible triad injuries and three patients with an olecranon fracture-dislocation of the elbow, who were treated at our hospital using a primary hinged external fixator between June 2012 and December 2014. Ten patients underwent repair or replacement of the radial head, while three underwent repair of the olecranon. In principle, they were treated without reconstruction of the coronoid fracture and collateral ligament injury. The patients were evaluated for a mean follow-up period of 16 months after the initial surgery. Early mobilization was encouraged while the hinged external fixator was in place. At the follow-up, the mean Mayo Elbow Performance Score was 93 points; the results were “excellent” in six cases and “good” in five. No patients had recurrent elbow instability. Only one patient needed an additional procedure after the initial operation. These results suggested that primary hinged external fixation without repair of the ligament and soft tissue is an effective minimally invasive surgery for the management of terrible triad injuries and olecranon fracture-dislocations of the elbow.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>complex fracture-dislocation of the elbow</subject><subject>coronoid process fracture</subject><subject>Elbow - injuries</subject><subject>Elbow - surgery</subject><subject>Elbow Joint - injuries</subject><subject>Elbow Joint - surgery</subject><subject>External Fixators</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Dislocation</subject><subject>Fracture Fixation - methods</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Joint Dislocations - surgery</subject><subject>Joint Instability - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>olecranon fracture-dislocation</subject><subject>Olecranon Process - surgery</subject><subject>primary hinged external fixation</subject><subject>Radius - surgery</subject><subject>Radius Fractures - surgery</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>terrible triad injury</subject><subject>Ulna - surgery</subject><subject>Ulna Fractures - surgery</subject><subject>Wrist Joint</subject><subject>Young Adult</subject><issn>0023-5679</issn><issn>1881-2090</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1P3DAQhq2qVdnS_gOEfOwl1B8bxzki2C1Ii6jEcrYm9gS8eBOwEwH_Hm-XpsxlDvO870gPIUecnYhK1r8exjhucYtuc3J1oyTLIz-RGdeaF4LV7DOZMSZkUaqqPiDfUtowNtdasK_kQOgMZH5Gwp_otxBf6YXv7tDRxcuAsYNAl_4FBt93tG_pGmP0TUC6jh4cvew2Y_SYKHSOXge0EboMLiPYYYxYnPsUevs3nXbx4R7pIjT983fypYWQ8Mf7PiS3y8X67KJYXf--PDtdFVaVShYtlEy3tqwbwVshsdGubV0D2imnK9E40Miqed0oYS2UAkDZaq4BgTMHvJSH5Oe-9zH2TyOmwWx9shgCdNiPyXCtMiV0WWd0vkdt7FOK2JrHvRDDmdl5Nv89m8lzjh2_fxibfJpC_8RmYLUHNmmAO5wAiIO3AT-2Kmm4Ebs19U-YvYdosJNv-OCaBg</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>SAKAI, KENSUKE</creator><creator>SHIRAHAMA, MASAHIRO</creator><creator>SHIBA, NAOTO</creator><creator>YOSHIDA, KENJI</creator><creator>YOSHIDA, SHIRO</creator><general>Kurume University School of Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2016</creationdate><title>Primary Hinged External Fixation of Terrible Triad Injuries and Olecranon Fracture-Dislocations of the Elbow</title><author>SAKAI, KENSUKE ; SHIRAHAMA, MASAHIRO ; SHIBA, NAOTO ; YOSHIDA, KENJI ; YOSHIDA, SHIRO</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6563-fa508fc59b21f23eb8dffdba8d6d872bda8e0749b62cca52aa6c748aea10da153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>complex fracture-dislocation of the elbow</topic><topic>coronoid process fracture</topic><topic>Elbow - injuries</topic><topic>Elbow - surgery</topic><topic>Elbow Joint - injuries</topic><topic>Elbow Joint - surgery</topic><topic>External Fixators</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Dislocation</topic><topic>Fracture Fixation - methods</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Joint Dislocations - surgery</topic><topic>Joint Instability - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>olecranon fracture-dislocation</topic><topic>Olecranon Process - surgery</topic><topic>primary hinged external fixation</topic><topic>Radius - surgery</topic><topic>Radius Fractures - surgery</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>terrible triad injury</topic><topic>Ulna - surgery</topic><topic>Ulna Fractures - surgery</topic><topic>Wrist Joint</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SAKAI, KENSUKE</creatorcontrib><creatorcontrib>SHIRAHAMA, MASAHIRO</creatorcontrib><creatorcontrib>SHIBA, NAOTO</creatorcontrib><creatorcontrib>YOSHIDA, KENJI</creatorcontrib><creatorcontrib>YOSHIDA, SHIRO</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Kurume medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SAKAI, KENSUKE</au><au>SHIRAHAMA, MASAHIRO</au><au>SHIBA, NAOTO</au><au>YOSHIDA, KENJI</au><au>YOSHIDA, SHIRO</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary Hinged External Fixation of Terrible Triad Injuries and Olecranon Fracture-Dislocations of the Elbow</atitle><jtitle>Kurume medical journal</jtitle><addtitle>Kurume Med. 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| source | MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Aged Aged, 80 and over complex fracture-dislocation of the elbow coronoid process fracture Elbow - injuries Elbow - surgery Elbow Joint - injuries Elbow Joint - surgery External Fixators Female Follow-Up Studies Fracture Dislocation Fracture Fixation - methods Fractures, Bone - surgery Humans Joint Dislocations - surgery Joint Instability - physiopathology Male Middle Aged olecranon fracture-dislocation Olecranon Process - surgery primary hinged external fixation Radius - surgery Radius Fractures - surgery Range of Motion, Articular Retrospective Studies terrible triad injury Ulna - surgery Ulna Fractures - surgery Wrist Joint Young Adult |
| title | Primary Hinged External Fixation of Terrible Triad Injuries and Olecranon Fracture-Dislocations of the Elbow |
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