The use of hinged elbow orthosis following surgical management of terrible triad injuries of the elbow.
Eur J Orthop Surg Traumatol
; 34(3): 1675-1681, 2024 Apr.
Article
in En
| MEDLINE
| ID: mdl-38403660
ABSTRACT
PURPOSE:
To determine outcomes following surgical management of terrible triad injuries in patients treated with and without a hinged elbow orthosis (HEO) in the post-operative setting.METHODS:
This study was a retrospective review of 41 patients who underwent surgical treatment of terrible triad injuries including radial head fracture, coronoid fracture, and ulnohumeral dislocation between 2008 and 2023 with at least 10-week follow-up.RESULTS:
Nineteen patients were treated post-operatively without HEO, and 22 patients were treated with HEO. There were no differences in range of motion (ROM) between patients treated with and without HEO in final flexion-extension arc (118.4° no HEO, 114.6° HEO, p = 0.59) or pronation-supination arc (147.8° no HEO, 141.4° HEO, p = 0.27). Five patients treated without HEO and one patient treated with HEO returned to the operating room for stiffness (26%, 5%, p = 0.08). QuickDASH scores were similar between groups (p = 0.69).CONCLUSIONS:
This study found no difference in post-operative ROM, complications, or QuickDASH scores in patients treated post-operatively with or without HEO. Based on these results, we cannot determine whether the use of HEO adds additional stability to the elbow while initiating ROM exercises post-operatively.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Radius Fractures
/
Joint Dislocations
/
Elbow Joint
/
Elbow Injuries
/
Joint Instability
Limits:
Humans
Language:
En
Journal:
Eur J Orthop Surg Traumatol
Year:
2024
Document type:
Article
Affiliation country: