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Treatment of terrible triad injuries at a mean follow-up of nine years.
- Source :
- Shoulder & Elbow; Dec2019, Vol. 11 Issue 6, p450-458, 9p
- Publication Year :
- 2019
-
Abstract
- Background: To evaluate the sustainability of the early clinical and radiological outcomes of terrible triad injuries at long-term follow-up. Methods: Twelve consecutive patients who underwent fixation of terrible triad injuries with minimum of seven years of follow-up. Functional and radiological outcomes at one year and final follow-up were compared. We assessed Mayo Elbow Performance Score, Quick-Disability of the Arm Shoulder and Hand, and modified-American Shoulder and Elbow Surgeons Scores. Radiological evaluation included Broberg and Morrey classification and Hastings classification for heterotopic ossification. Results: The mean age of patients was 55 years, with a median follow-up of 9.3 years. At final evaluation, mean flexion, extension, supination, and pronation were 145°, 6°, 82°, and 80°, respectively; mean Mayo Elbow Performance Score, modified-American Shoulder and Elbow Surgeons Scores, and Quick-Disability of the Arm Shoulder and Hand scores were, respectively, 97, 92, and 4.9 points. There was no statistical difference between early and final follow-up range of motion, Mayo Elbow Performance Score, and Quick-Disability of the Arm Shoulder and Hand. However, radiological changes were observed in 66% of the patients at final follow-up. Two patients underwent reoperation, with final satisfactory results. Conclusion: Our results suggested that using a standardized protocol, satisfactory clinical outcomes at early follow-up could be maintained over time. However, early complications and osteoarthritic changes at long-term follow-up can be expected. Level of evidence: Therapeutic IV Cases series. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 17585732
- Volume :
- 11
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Shoulder & Elbow
- Publication Type :
- Academic Journal
- Accession number :
- 139566442
- Full Text :
- https://doi.org/10.1177/1758573218809375