| Objective To explore the clinical efficacy of using the anterior approach of the elbow to fix the terrible triad of the elbow with miniature steel plate internal fixation and Kocher approach humeral head replacement. Methods A retrospective analysis of 8 cases of patients with elbow trigeminal terpenoids treated in our department from June 2015 to June 2017 in our department and using the elbow anterior approach miniature plate internal fixation combined with lateral Kocher approach humeral head replacement. Male 7 case, female 1 case; aged 20 to 47 years old, average 28.3 years old. All patients were unilateral lesions, with 5 right lesions and 3 left lesions. According to the Regan-Morrey classification, ulnar coronoid process fractures were classified as type I 1, type II 5 and type III 2. According to the Mason classification, radial head fractures were classified as type III in 5 cases and type IV in 3. All patients were treated with anterior elbow approach microplate fixation combined with lateral Kocher approach humeral head replacement. The operative time and blood loss were recorded. The incision healing, fracture healing and postoperative complications were observed. Mayo elbow function score was used the standard (MEPS) assesses elbow joint function. Results The group was followed up for 10 to 23 months, an average of 15.7 months, all 8 cases of incision healed in a primary, fractures were clinically healed. No complications such as nerve, blood vessel injury, and myosinous myositis were observed. . According to motor function, stability, pain and daily activities of the elbow, the Mayo Elbow Functional Rating Scale (MEPS) was used to evaluate the surgical outcome: excellent in 3 cases, good in 4 cases, and moderate in 1 case. The excellent and good rate was 87.5%. Conclusions The use of anterior elbow approach miniature plate internal fixation and lateral Kocher approach humeral head replacement for the treatment of elbow terrible triads, With advantages such as full exposure, reliable fixation and short operation time, etc. The clinical effect is satisfactory. |
