de Aquino Santos Anderson, Tonelli Thomaz Antônio, Matsunaga Fabio Teruo, Matsumoto Marcelo Hide, Netto Nicola Archetti, Tamaoki Marcel Jun Sugawara
Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Rev Bras Ortop. 2015 Jul 3;50(4):403-8. doi: 10.1016/j.rboe.2015.06.010. eCollection 2015 Jul-Aug.
To evaluate the results from surgical treatment of the terrible triad of the elbow, with a minimum of six months of follow-up, taking elbow function into consideration.
The analyzed aspects of 20 patients, who underwent surgical treatment of the terrible triad of the elbow, were given as follows: Dash score (Disabilities of the Arm, Shoulder and Hand), Meps (Mayo Elbow Performance Score), pain according to VAS (visual analog scale), ROM (range of motion), patient satisfaction, degree of energy of the trauma, complications and radiographs.
The mean length of follow-up among the patients was 38 months. There were statistically significant relationships between the following set of parameters: trauma mechanism and patient satisfaction; radiological outcome of "heterotopic ossification" and satisfaction; functional flexion-extension ROM and satisfaction; and between type of radial head fracture and presence of a radiological outcome.
The surgical treatment for the terrible triad of the elbow generally provided satisfactory results, when the functioning of this joint upon the return to activities was taken into consideration.
在考虑肘关节功能的情况下，对肘关节“三联征”手术治疗的结果进行评估，随访时间最少为6个月。
对20例行肘关节“三联征”手术治疗的患者进行如下分析：上肢、肩部和手部功能障碍评分（Dash评分）、梅奥肘关节功能评分（Meps）、视觉模拟量表（VAS）疼痛评分、活动范围（ROM）、患者满意度、创伤能量程度、并发症及X线片。
患者的平均随访时间为38个月。以下几组参数之间存在统计学显著关系：创伤机制与患者满意度；“异位骨化”的放射学结果与满意度；功能性屈伸活动范围与满意度；以及桡骨头骨折类型与放射学结果的存在之间。
考虑到该关节恢复活动后的功能，肘关节“三联征”的手术治疗总体上提供了满意的结果。
