title: [Progress in treatment of terrible triad of elbow].
abstract: OBJECTIVE
  To review the injury mechanism and the treatment progress of terrible triad of the elbow, and to analyze the direction of further research.
  
  
  METHODS
  Related literature concerning terrible triad of the elbow was extensively reviewed and comprehensively analyzed.
  
  
  RESULTS
  The main treatment of terrible triad of the elbow is operation. The ultimate goal of treatment is to reconstruct sufficient stability of the elbow. The treatment includes fixation of the coronoid by suture, screw or plate; fixation of radial head by screw and plate, partial or complete replacement of the radial head; fixation of lateral collateral ligament and the medial collateral ligament by bone suture or anchors and the application of the external fixator. These surgical treatments have their own indications and advantages, most get satisfactory results.
  
  
  CONCLUSIONS
  Generally, surgery is needed to maintain the stability of the elbow for patients of terrible triad elbow. However, medial ligament repair or not, the choice of approach, and mechanism of injury still need further study.
authors.affiliation: Department of Orthopedics, Tongji Hospital of Tongji University, Shanghai, 200065, P.R.China.
authors.forename: Ning
authors.initials: N
authors.lastname: Ma
authors.forename: Tao
authors.initials: T
authors.lastname: Yu
authors.forename: Feng
authors.initials: F
authors.lastname: Yuan
mesh_terms: D001860:Bone Plates; D001863:Bone Screws; D017885:Collateral Ligaments / Q000293:injuries / Q000601:surgery; D004551:Elbow Joint / Q000503:physiopathology / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D006801:Humans; D004204:Joint Dislocations / Q000503:physiopathology / Q000601:surgery*; D007593:Joint Instability / Q000503:physiopathology / Q000601:surgery; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D011885:Radius Fractures / Q000503:physiopathology / Q000601:surgery*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D053441:Suture Anchors; D013536:Suture Techniques; D014458:Ulna Fractures / Q000503:physiopathology / Q000601:surgery*; D000092464:Elbow Injuries