RT Journal Article
T1 Fracture Patterns, Outcomes, and Complications of Terrible Triad Injury in Elderly Patients
A1 Lópiz Morales, María Yaiza
A1 Ciller González, Gabriel
A1 Ponz Lueza, Virginia
A1 Echevarria Marín, Marta
A1 Donadeu Sánchez, Susana
A1 Bartrina Tarrío, Andrés
A1 García Fernandez, Carlos
A1 Marco Martínez, Fernando
AB Aims: The aim of this study was to describe the fracture patterns of terrible triad elbow injury (TTEI) and to evaluate complications, functional and radiographic outcomes in mid-term follow-up in patients older than 65 years.Methods: A retrospective study of 29 patients, mean follow-up of 48.7±4.6 months (range 65-78). Fractures were classified according to the Mason and Regan-Morrey classifications. All patients were evaluated by the Mayo Elbow Performance Scale (MEPS), Quick-Dash, EQVAS, EQ5D scores, and ROM measurement.Results: The mean age was 72.3 years and 79% were women. Mason Type III (72%) and Reagan-Morrey type II (69%) were the most frequent fracture type. All patients were managed with a lateral approach consisting of repair or replacement of the radial head and repair of the lateral ulnar collateral ligament (LUCL); of these patients, 19 underwent re-attachment of the coronoid process or anterior capsule. Mean functional scores were MEPS 90.3±7.5, Quick-DASH 18.4±4.6, EQ5D .89± 0.33, EQ-VAS 86.2 ± 21, and VAS 2.2± 1.5. Mean postoperative flexo-extension arc of elbow motion was 105º (range, 65º-145º). Two patients (7%) required revision surgery. We did not observe any joint instability in the elbow after surgery.Conclusions: Patients over 65 years old with a terrible triad elbow injury (TTEI) are at substantial risk of complex fracture patterns, particularly Mason type III radial head fractures and Regan-Morrey type II coronoid fractures. Complications such as joint stiffness and heterotopic ossification are infrequent, while associated capitellum fractures are not rare and should be considered in the assessment as they can impact elbow stability. Despite these challenges, surgical management generally achieves favorable functional outcomes with low complication and reoperation rates.
PB Elsevier
SN 1058-2746
YR 2024
FD 2024-05-19
LK https://hdl.handle.net/20.500.14352/110392
UL https://hdl.handle.net/20.500.14352/110392
LA eng
NO Lopiz Y, Ciller G, Ponz-Lueza V, Echevarria M, Donadeu S, Bartrina A, García-Fernandez C, Marco F. Fracture Patterns, Outcomes, and Complications of Terrible Triad Injury in Elderly Patients. J Shoulder Elbow Surg. 2024 Oct 21:S1058-2746(24)00763-8. doi: 10.1016/j.jse.2024.08.043. Epub ahead of print. PMID: 39442861.
DS Docta Complutense
RD 11 abr 2025