@article{ref1,
title="Treatment of terrible triad injuries at a mean follow-up of nine years",
journal="Shoulder and elbow",
year="2019",
author="Zaidenberg, Ezequiel E. and Abrego, Mariano O. and Donndorff, Agustin G. and Boretto, Jorge G. and De Carli, Pablo and Gallucci, Gerardo L.",
volume="11",
number="6",
pages="450-458",
abstract="BACKGROUND: To evaluate the sustainability of the early clinical and radiological outcomes of terrible triad injuries at long-term follow-up. <br><br>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. <br><br>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. <br><br>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.<br><br>© 2018 The British Elbow & Shoulder Society.<p /> <p>Language: en</p>",
language="en",
issn="1758-5732",
doi="10.1177/1758573218809375",
url="http://dx.doi.org/10.1177/1758573218809375"
}