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| An Analysis of the Effects of the Terrible Elbow Triad Treated Through the Lateral Approach and the Combination of Lateral Approach and Anterior-Medial Approach |
| ZHANG Zhiwen, HUANG Yuliang, QIU Longhai, et al |
| Huizhou Central Hospital of the People, Guangdong Huizhou 516001,China |
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Abstract Objective: To investigate the clinical curative effects of terrible triad of elbow treated through lateral approach alone and through the combination of lateral approach and anterior-medial approach. Methods:Retrospective and cohort study was adopted in this research, which involved 43 patients from May 2015 to March 2018 in our department. Patients were randomly assigned to group A(n=24) and group B(n=19). Clinical curative effects were evaluated, including operation time, blood loss volume, postoperative complications, range of motion of elbow joint and Mayo elbow performance score(MEPS). Results: There was no statistical difference between group A and group B(P>0.05). After a mean follow-up of 24.6 months, elbow motion range in group A was better than that in group B(P<0.05). The score of motion in group A were higher, compared with group B(P<0.05). Mayo elbow performance in group A was lower in group A, with no stastistical difference (P>0.05). Conclusion:Both single approach and combined approach could achieve satisfactory effects. Single lateral approach seemed to associate with better motion range, lower ulnar damage and elbow stiffness than combined approach in treating triad of the elbow.
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2020, Vol. 26 
