Long-term functional outcomes of the terrible triad of the elbow

Introduction: The published literature regarding the terrible triad of the elbow has historically shown a high rate of unacceptable outcomes. The objective of the present study was to evaluate the long-term functional outcomes and repercussions in patients who suffered the terrible triad of the elbo...

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Detalhes bibliográficos
Autores: Muñoz Mahamud, Ernesto, Estrada, J.A., Ballesteros Betancourt, J. R., Combalía Aleu, Andrés, Fernández-Valencia, J.A.
Formato: artículo
Fecha de publicación:2018
País:España
Recursos:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/192837
Acesso em linha:https://hdl.handle.net/2445/192837
Access Level:acceso abierto
Palavra-chave:Colze
Luxacions
Fractures
Traumatisme
Elbow
Dislocations
Traumatism
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spelling Long-term functional outcomes of the terrible triad of the elbowMuñoz Mahamud, ErnestoEstrada, J.A.Ballesteros Betancourt, J. R.Combalía Aleu, AndrésFernández-Valencia, J.A.ColzeLuxacionsFracturesTraumatismeElbowDislocationsFracturesTraumatismIntroduction: The published literature regarding the terrible triad of the elbow has historically shown a high rate of unacceptable outcomes. The objective of the present study was to evaluate the long-term functional outcomes and repercussions in patients who suffered the terrible triad of the elbow. Material and methods: A retrospective analysis of a prospectively-recruited consecutive series of cases registered from August 2005 to August 2009, involving 27 patients from which 16 complied with inclusion criteria for the study. The mean follow-up period was 8.6 years (range: 6.9 to 10.6). Two different final quality of life evaluation questionnaires were performed by telephone: the EuroQol Five Dimensions Questionnaire (EQ-5D) and the patient answered questionnaire portion of the Liverpool Elbow Score (PAQ-LES). Results: Fifteen (93.7%) patients were intervened surgically whereas only 1 case was treated conservatively. EQ-5D-rated outcome averaged 0.87 (range: 0.36 to 1) and the PAQ-LES averaged 33.5 (range: 17 to 36). Five (31.2%) presented pain or discomfort, 4 (25.0%) had some kind of difficulties in their daily activity and 3 (18.7%) founded some limitations with their personal hygiene. Only 6 cases (37.5%) declared to be fully asymptomatic. Conclusion: The terrible triad of the elbow remains a challenging injury that entails the presence of chronic pain and discomfort in almost one third of the cases at a long-term follow-up.2018info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/2445/192837Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del documentInternational Journal of Advanced Joint Reconstruction, 2018, vol. 5, num. 1, p. 8-13cc-by-nc (c) Muñoz Mahamud, Ernesto et al., 2018http://creativecommons.org/licenses/by-nc/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1928372026-05-27T06:46:51Z
dc.title.none.fl_str_mv Long-term functional outcomes of the terrible triad of the elbow
title Long-term functional outcomes of the terrible triad of the elbow
spellingShingle Long-term functional outcomes of the terrible triad of the elbow
Muñoz Mahamud, Ernesto
Colze
Luxacions
Fractures
Traumatisme
Elbow
Dislocations
Fractures
Traumatism
title_short Long-term functional outcomes of the terrible triad of the elbow
title_full Long-term functional outcomes of the terrible triad of the elbow
title_fullStr Long-term functional outcomes of the terrible triad of the elbow
title_full_unstemmed Long-term functional outcomes of the terrible triad of the elbow
title_sort Long-term functional outcomes of the terrible triad of the elbow
dc.creator.none.fl_str_mv Muñoz Mahamud, Ernesto
Estrada, J.A.
Ballesteros Betancourt, J. R.
Combalía Aleu, Andrés
Fernández-Valencia, J.A.
author Muñoz Mahamud, Ernesto
author_facet Muñoz Mahamud, Ernesto
Estrada, J.A.
Ballesteros Betancourt, J. R.
Combalía Aleu, Andrés
Fernández-Valencia, J.A.
author_role author
author2 Estrada, J.A.
Ballesteros Betancourt, J. R.
Combalía Aleu, Andrés
Fernández-Valencia, J.A.
author2_role author
author
author
author
dc.subject.none.fl_str_mv Colze
Luxacions
Fractures
Traumatisme
Elbow
Dislocations
Fractures
Traumatism
topic Colze
Luxacions
Fractures
Traumatisme
Elbow
Dislocations
Fractures
Traumatism
description Introduction: The published literature regarding the terrible triad of the elbow has historically shown a high rate of unacceptable outcomes. The objective of the present study was to evaluate the long-term functional outcomes and repercussions in patients who suffered the terrible triad of the elbow. Material and methods: A retrospective analysis of a prospectively-recruited consecutive series of cases registered from August 2005 to August 2009, involving 27 patients from which 16 complied with inclusion criteria for the study. The mean follow-up period was 8.6 years (range: 6.9 to 10.6). Two different final quality of life evaluation questionnaires were performed by telephone: the EuroQol Five Dimensions Questionnaire (EQ-5D) and the patient answered questionnaire portion of the Liverpool Elbow Score (PAQ-LES). Results: Fifteen (93.7%) patients were intervened surgically whereas only 1 case was treated conservatively. EQ-5D-rated outcome averaged 0.87 (range: 0.36 to 1) and the PAQ-LES averaged 33.5 (range: 17 to 36). Five (31.2%) presented pain or discomfort, 4 (25.0%) had some kind of difficulties in their daily activity and 3 (18.7%) founded some limitations with their personal hygiene. Only 6 cases (37.5%) declared to be fully asymptomatic. Conclusion: The terrible triad of the elbow remains a challenging injury that entails the presence of chronic pain and discomfort in almost one third of the cases at a long-term follow-up.
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/192837
url https://hdl.handle.net/2445/192837
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document
International Journal of Advanced Joint Reconstruction, 2018, vol. 5, num. 1, p. 8-13
dc.rights.none.fl_str_mv cc-by-nc (c) Muñoz Mahamud, Ernesto et al., 2018
http://creativecommons.org/licenses/by-nc/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc (c) Muñoz Mahamud, Ernesto et al., 2018
http://creativecommons.org/licenses/by-nc/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301603

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