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Comparative Analysis of Surgical Options for Medial Collateral Ligament Repair in Terrible Triad Injury of the Elbow

The aim of our study is to evaluate the clinical and radiologic outcomes in patients with terrible triad injury, who underwent surgical treatment with or without the medial collateral ligament (MCL) repair. Fourteen patients who underwent surgery with a minimum of 12-month follow-up (mean, 17 months...

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Autores principales: Hatta, Taku, Nobuta, Shingo, Aizawa, Toshitake, Sasajima, Koichi, Nakajima, Soichi, Honda, Masahito, Oki, Gosuke, Yamanaka, Yoshiaki, Itoi, Eiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5066112/
https://www.ncbi.nlm.nih.gov/pubmed/27761222
http://dx.doi.org/10.4081/or.2016.6666
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author Hatta, Taku
Nobuta, Shingo
Aizawa, Toshitake
Sasajima, Koichi
Nakajima, Soichi
Honda, Masahito
Oki, Gosuke
Yamanaka, Yoshiaki
Itoi, Eiji
author_facet Hatta, Taku
Nobuta, Shingo
Aizawa, Toshitake
Sasajima, Koichi
Nakajima, Soichi
Honda, Masahito
Oki, Gosuke
Yamanaka, Yoshiaki
Itoi, Eiji
author_sort Hatta, Taku
collection PubMed
description The aim of our study is to evaluate the clinical and radiologic outcomes in patients with terrible triad injury, who underwent surgical treatment with or without the medial collateral ligament (MCL) repair. Fourteen patients who underwent surgery with a minimum of 12-month follow-up (mean, 17 months) were reviewed. Based on the systematic treatment protocol, radial head fracture, lateral collateral ligament, and coracoid fracture were treated. Subsequently, torn MCL was repaired in 7 patients, whereas in the remaining 7 patients, the MCL was not treated. Range of motion, elbow function, and radiographs regarding the arthrosis and heterotopic ossification were assessed. At final follow-up, no significant differences were found in elbow motion or function between the groups with and without MCL repair; except the pronation and supination which had superior range in repair group. In contrast, radiologic findings such as the arthrosis were seen more frequently in patients without MCL repair than those with repair. Our results indicate the effect of MCL repair on elbow motion and function might be small, whereas osteoarthritic changes occurred more frequently in elbows without MCL repair.
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spelling pubmed-50661122016-10-19 Comparative Analysis of Surgical Options for Medial Collateral Ligament Repair in Terrible Triad Injury of the Elbow Hatta, Taku Nobuta, Shingo Aizawa, Toshitake Sasajima, Koichi Nakajima, Soichi Honda, Masahito Oki, Gosuke Yamanaka, Yoshiaki Itoi, Eiji Orthop Rev (Pavia) Article The aim of our study is to evaluate the clinical and radiologic outcomes in patients with terrible triad injury, who underwent surgical treatment with or without the medial collateral ligament (MCL) repair. Fourteen patients who underwent surgery with a minimum of 12-month follow-up (mean, 17 months) were reviewed. Based on the systematic treatment protocol, radial head fracture, lateral collateral ligament, and coracoid fracture were treated. Subsequently, torn MCL was repaired in 7 patients, whereas in the remaining 7 patients, the MCL was not treated. Range of motion, elbow function, and radiographs regarding the arthrosis and heterotopic ossification were assessed. At final follow-up, no significant differences were found in elbow motion or function between the groups with and without MCL repair; except the pronation and supination which had superior range in repair group. In contrast, radiologic findings such as the arthrosis were seen more frequently in patients without MCL repair than those with repair. Our results indicate the effect of MCL repair on elbow motion and function might be small, whereas osteoarthritic changes occurred more frequently in elbows without MCL repair. PAGEPress Publications, Pavia, Italy 2016-09-19 /pmc/articles/PMC5066112/ /pubmed/27761222 http://dx.doi.org/10.4081/or.2016.6666 Text en ©Copyright T. Hatta et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Article
Hatta, Taku
Nobuta, Shingo
Aizawa, Toshitake
Sasajima, Koichi
Nakajima, Soichi
Honda, Masahito
Oki, Gosuke
Yamanaka, Yoshiaki
Itoi, Eiji
Comparative Analysis of Surgical Options for Medial Collateral Ligament Repair in Terrible Triad Injury of the Elbow
title Comparative Analysis of Surgical Options for Medial Collateral Ligament Repair in Terrible Triad Injury of the Elbow
title_full Comparative Analysis of Surgical Options for Medial Collateral Ligament Repair in Terrible Triad Injury of the Elbow
title_fullStr Comparative Analysis of Surgical Options for Medial Collateral Ligament Repair in Terrible Triad Injury of the Elbow
title_full_unstemmed Comparative Analysis of Surgical Options for Medial Collateral Ligament Repair in Terrible Triad Injury of the Elbow
title_short Comparative Analysis of Surgical Options for Medial Collateral Ligament Repair in Terrible Triad Injury of the Elbow
title_sort comparative analysis of surgical options for medial collateral ligament repair in terrible triad injury of the elbow
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5066112/
https://www.ncbi.nlm.nih.gov/pubmed/27761222
http://dx.doi.org/10.4081/or.2016.6666
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