Evaluation of Surgical Treatment of Terrible Triade Injury of the Elbow Joint
试验速览
- 阶段
- 不适用
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Evaluation of Surgical Treatment of Terrible Triade Injury of the Elbow joint.
研究概览
简要总结
) Terrible triad injury of the elbow is a complex injury that is classically defined as elbow dislocation along with fractures of the coronoid process of the ulna and the radial head. The injury is usually associated with typical soft-tissue disruptions (with common involvement of the lateral collateral ligament complex, elbow joint capsule, as well as the common extensor and flexor-pronator tendons)(2).
Complications of terrible triad injuries include redislocation, residual instability, elbow stiffness, heterotopic ossification, fracture malunion or nonunion, elbow arthrosis, olecranon bursitis, ulnar or radial nerve palsy (due to the surgical approach or placement of hardware), and hardware related complications(2) .
Management of trrible triade is conservative or surgical treatment ,in this study we will use surgical treatment and make evaluation of it.
详细描述
The elbow is the second most commonly dislocated joint in adults and up to 20% of dislocations are associated with a fracture. (1) Terrible triad injury of the elbow is a complex injury that is classically defined as elbow dislocation along with fractures of the coronoid process of the ulna and the radial head. The injury is usually associated with typical soft-tissue disruptions (with common involvement of the lateral collateral ligament complex, elbow joint capsule, as well as the common extensor and flexor-pronator tendons) Complications of terrible triad injuries include redislocation, residual instability, elbow stiffness, heterotopic ossification, fracture malunion or nonunion, elbow arthrosis, olecranon bursitis, ulnar or radial nerve palsy (due to the surgical approach or placement of hardware), and hardware related complications.
Management of trrible triade is conservative or surgical treatment ,in this study we will use surgical treatment and make evaluation of it.
Surgical treatment involves radial head repair or replacement ,medial and lateral collateral ligament repair and coronoid fracture fixation.
aim of research isFunctional assessment of surgical treatment of terrible triade injury of the elbow according to Mayo elbow performance score, According to the system of Mayo, scores of 90-100 are classified as excellent, 75-89 as good, 60-74 as fair, and 0-59 as poor
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 17 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1.skeletally mature patients (over 17 years old) including both sexes. 2.Acute fractures within 3 weeks of injury. 3.Isolated & closed fractures . 4.polytrauma trauma patients with no other injuries in the same limb.
排除标准
- •pathological fracture of proximal radius and ulna.
- •deteriorateed general health.
- •previous history of dysfunction with the affected elbow.
结局指标
主要结局
Evaluation of Surgical Treatment of Terrible Triade Injury of the Elbow joint.
时间窗: 2 years
Functional assessment of surgical treatment of terrible triade injury of the elbow according to Mayo elbow performance score
次要结局
未报告次要终点
研究者
abdalraouf mahmoud ghozaly
Evaluation of Surgical Treatment of Terrible Triade Injury of the Elbow joint
Assiut University