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Modern radial head arthroplasty for terrible triad fracture-dislocations: a retrospective case series with minimum 3-year follow-up
Institution:1. Department of Orthopaedic Surgery, Stanford University, Stanford, CA, USA;2. Department of Orthopaedic Surgery, Harborview Medical Center, Seattle, WA, USA;3. Department of Orthopaedic Surgery, Santa Clara Valley Medical Center, San Jose, CA, USA;1. Department of Orthopaedic Surgery, CHU de Québec–Centre Hospitalier de l''Université Laval (CHUL), Québec, QC, Canada;2. Faculté de Médecine, Université Laval, Québec, QC, Canada
Abstract:BackgroundTo report mid-term clinical outcomes after radial head arthroplasty for terrible-triad fracture dislocations.MethodsFourteen patients with terrible triad fracture dislocations treated acutely with arthroplasty and minimum 3-year follow-up. Mayo Elbow Performance Scale (MEPS) and QuickDASH scores.ResultsAll patients achieved excellent (58%) or good (42%) results on the MEPS. Average QuickDASH score was 9.1 (range 0-25). Reoperation rate was 28%.ConclusionsAcute radial head arthroplasty as a treatment for nonreconstructable radial head fractures in the setting of terrible triad elbow injuries demonstrates good midterm functional outcomes.Level of EvidenceLevel IV; Retrospective Case Series Study
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