TY  - JOUR
PY  - 2019//
TI  - Treatment of terrible triad injuries at a mean follow-up of nine years
JO  - Shoulder and elbow
A1  - Zaidenberg, Ezequiel E.
A1  - Abrego, Mariano O.
A1  - Donndorff, Agustin G.
A1  - Boretto, Jorge G.
A1  - De Carli, Pablo
A1  - Gallucci, Gerardo L.
SP  - 450
EP  - 458
VL  - 11
IS  - 6
N2  - 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>
LA  - en
SN  - 1758-5732
UR  - http://dx.doi.org/10.1177/1758573218809375
ID  - ref1
ER  -