Avaliação dos resultados do tratamento cirúrgico da tríade terrível do cotovelo

Miyazaki, Alberto Naoki; Checchia, Caio Santos; Fagotti, Lorenzo; Fregoneze, Marcelo; Santos, Pedro Doneux; Silva, Luciana Andrade da; Sella, Guilherme do Val; Checchia, Sérgio Luiz

doi:10.1016/j.rbo.2014.01.011

Cited by 9 publications

(3 citation statements)

References 20 publications

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“…Our results are consistent with the literature, as 74.6% of cases had 3 or more fragments. This result is similar to studies by Gonçalves et al 9 and Miyazaki et al 10 …”

Section: Discussionsupporting

confidence: 93%

Fracture-Dislocations of the Elbow: Can They Influence the Pattern Fracture of Radial Head?

Silva,

Malaquias,

Cruz

et al. 2024

Acta ortop. bras.

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Introduction: Radial head fractures are consistently part of a terrible triad of the elbow and can occur in association with Monteggia fracture-dislocations, transolecranon fractures, and their variations. Understanding the degree of comminution of the radial head fracture and the location of fragments determines the course of action to be taken. Objectives: To correlate fracture-dislocations with the pattern of radial head fracture (number of fragments) and involvement in the proximal radioulnar region. Materials and Methods: A retrospective study (level II) of patients undergoing surgery for radial head fractures associated with fracture-dislocations. Patients had radiographs in anteroposterior and lateral views, as well as tomography. The number of radial head fracture fragments and the presence of fractures in the proximal radioulnar region were correlated with the type of fracture-dislocation and demographic variables. Conclusion: Elbow fracture-dislocation types could not predict the number of fragments and the location of radial head fractures. However, most injuries presented three or more fragments in the radial head, and many had involvement of the proximal radioulnar region, suggesting high-energy trauma. Level of Evidence II; Retrospective Study.

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“…Our results are consistent with the literature, as 74.6% of cases had 3 or more fragments. This result is similar to studies by Gonçalves et al 9 and Miyazaki et al 10 …”

Section: Discussionsupporting

confidence: 93%

Fracture-Dislocations of the Elbow: Can They Influence the Pattern Fracture of Radial Head?

Silva,

Malaquias,

Cruz

et al. 2024

Acta ortop. bras.

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“…( 4 ),( 13 However, in the study by Chemama et al ( 14 in 2010, better MEPS values were observed for patients who underwent fixation of the coronoid process compared to those who were not fixed, but the authors did not perform statistical analysis of their results. ( 15 …”

Section: Discussionmentioning

confidence: 99%

Complications After Surgical Treatment of Jupiter’s Monteggia Type Ii Fractures

GUERRA,

ARAÚJO FILHO,

KIKUTA

et al. 2023

Acta ortop. bras.

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Monteggia fracture-dislocations are rare injuries, affecting about 2-5% of the population. Jesse Jupiter subdivided Bado’s Type II fractures into four types, all of which presented an associated radial head fracture. Associated chondral and ligament injuries can evolve with postoperative complications. Objective: To evaluate the incidence of complications and risk factors that may influence the postoperative outcomes of Jupiter lesions. Methods: This retrospective study was conducted with surgically treated patients. The characteristics related to fractures and surgical approaches were evaluated and these variables were correlated with radiographic and functional postoperative complications. Results: A total of 15 patients were evaluated, mostly men and with a higher prevalence of Types IIA and IID. The most frequent complications were heterotopic ossification and osteolysis around the radial head prosthesis. Postoperative instability occurred only in the lateral collateral ligament. According to MEPS functional score, 53% of the patients evolved with unfavorable outcomes. Conclusion: The studied cases evolved with high rates of postoperative complications, mainly in Jupiter’s Type IID fractures and associated coronoid fractures. Level of Evidence III, Therapeutic Study.

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“…Its preservation is recommended whenever possible, however, when its reconstruction is not possible, then its prosthetic replacement is adviced. 12 In this patients series, this was done in 86% of the elbows. In two patients osteosynthesis was feasible.…”

Section: Discussionmentioning

confidence: 99%

Functional evaluation of patients with surgically treated terrible triad of the elbow

et al. 2015

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OBJECTIVES: To evaluate the functional outcome of patients with surgically treated terrible triad of the elbow. METHODS: A retrospective evaluation was performed using the MEPS score (Mayo Elbow Performance Score) of patients diagnosed with terrible triad of the elbow who underwent surgical treatment. RESULTS: 14 patients (nine men and five women) and 15 elbows (one bilateral case) were evaluated. A MEPS average score of 78 points and 86% good and excellent results was obtained. As complications, we had one case of infection and three of neuropraxia of the ulnar nerve. CONCLUSION: The patients had stable elbow with good function, however with reduced range of motion. Level of Evidence IV, Case Series.

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Avaliação dos resultados do tratamento cirúrgico da tríade terrível do cotovelo

Cited by 9 publications

References 20 publications

Fracture-Dislocations of the Elbow: Can They Influence the Pattern Fracture of Radial Head?

Fracture-Dislocations of the Elbow: Can They Influence the Pattern Fracture of Radial Head?

Complications After Surgical Treatment of Jupiter’s Monteggia Type Ii Fractures

Functional evaluation of patients with surgically treated terrible triad of the elbow

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