title: Comparative Analysis of Surgical Options for Medial Collateral Ligament Repair in Terrible Triad Injury of the Elbow.
abstract: The aim of our study is to evaluate the clinical and radiologic outcomes in patients with terrible triad injury, who underwent surgical treatment with or without the medial collateral ligament (MCL) repair. Fourteen patients who underwent surgery with a minimum of 12-month follow-up (mean, 17 months) were reviewed. Based on the systematic treatment protocol, radial head fracture, lateral collateral ligament, and coracoid fracture were treated. Subsequently, torn MCL was repaired in 7 patients, whereas in the remaining 7 patients, the MCL was not treated. Range of motion, elbow function, and radiographs regarding the arthrosis and heterotopic ossification were assessed. At final follow-up, no significant differences were found in elbow motion or function between the groups with and without MCL repair; except the pronation and supination which had superior range in repair group. In contrast, radiologic findings such as the arthrosis were seen more frequently in patients without MCL repair than those with repair. Our results indicate the effect of MCL repair on elbow motion and function might be small, whereas osteoarthritic changes occurred more frequently in elbows without MCL repair.
authors.affiliation: Department of Orthopedic Surgery, Tohoku University School of Medicine.
authors.forename: Taku
authors.initials: T
authors.lastname: Hatta
authors.affiliation: Department of Orthopedic Surgery, Tohoku Rosai Hospital.
authors.forename: Shingo
authors.initials: S
authors.lastname: Nobuta
authors.affiliation: Department of Orthopedic Surgery, Iwaki Kyoritsu General Hospital.
authors.forename: Toshitake
authors.initials: T
authors.lastname: Aizawa
authors.affiliation: Department of Orthopedic Surgery, Iwaki Kyoritsu General Hospital.
authors.forename: Koichi
authors.initials: K
authors.lastname: Sasajima
authors.affiliation: Department of Orthopedic Surgery, Takeda General Hospital.
authors.forename: Soichi
authors.initials: S
authors.lastname: Nakajima
authors.affiliation: Department of Orthopedic Surgery, Takeda General Hospital.
authors.forename: Masahito
authors.initials: M
authors.lastname: Honda
authors.affiliation: Department of Orthopedic Surgery, Sapporo Medical University School of Medicine.
authors.forename: Gosuke
authors.initials: G
authors.lastname: Oki
authors.affiliation: Department of Orthopedic Surgery, University Hospital of Occupational and Environmental Health , Japan.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Yamanaka
authors.affiliation: Department of Orthopedic Surgery, Tohoku University School of Medicine.
authors.forename: Eiji
authors.initials: E
authors.lastname: Itoi
keywords: Elbow; medial collateral ligament; repair; terrible triad injury