Evaluation of Surgical Treatment of Terrible Triade Injury of the Elbow Joint

Treatment of Terrible Triade Injury of the Elbow Joint Clinical Trial

Official title:

Evaluation of Surgical Treatment of Terrible Triade Injury of the Elbow Joint

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04578977
• Other study ID #: Treatment of Terrible Triade
• Status: Recruiting
• Start date: October 10, 2020
• Est. completion date: December 2022

Study information

• Verified date: October 2020
• Source: Assiut University
• Contact: Abdalraouf Mahmoud Ghozaly, resident doctor
• Phone: 01555167657
• Email: Abdalraoofmahmoud4[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

) Terrible triad injury of the elbow is a complex injury that is classically defined as elbow dislocation along with fractures of the coronoid process of the ulna and the radial head. The injury is usually associated with typical soft-tissue disruptions (with common involvement of the lateral collateral ligament complex, elbow joint capsule, as well as the common extensor and flexor-pronator tendons)(2).

Complications of terrible triad injuries include redislocation, residual instability, elbow stiffness, heterotopic ossification, fracture malunion or nonunion, elbow arthrosis, olecranon bursitis, ulnar or radial nerve palsy (due to the surgical approach or placement of hardware), and hardware related complications(2) .

Management of trrible triade is conservative or surgical treatment ,in this study we will use surgical treatment and make evaluation of it.

Description:

The elbow is the second most commonly dislocated joint in adults and up to 20% of dislocations are associated with a fracture. (1) Terrible triad injury of the elbow is a complex injury that is classically defined as elbow dislocation along with fractures of the coronoid process of the ulna and the radial head. The injury is usually associated with typical soft-tissue disruptions (with common involvement of the lateral collateral ligament complex, elbow joint capsule, as well as the common extensor and flexor-pronator tendons) Complications of terrible triad injuries include redislocation, residual instability, elbow stiffness, heterotopic ossification, fracture malunion or nonunion, elbow arthrosis, olecranon bursitis, ulnar or radial nerve palsy (due to the surgical approach or placement of hardware), and hardware related complications.

Management of trrible triade is conservative or surgical treatment ,in this study we will use surgical treatment and make evaluation of it.

Surgical treatment involves radial head repair or replacement ,medial and lateral collateral ligament repair and coronoid fracture fixation.

aim of research isFunctional assessment of surgical treatment of terrible triade injury of the elbow according to Mayo elbow performance score, According to the system of Mayo, scores of 90-100 are classified as excellent, 75-89 as good, 60-74 as fair, and 0-59 as poor

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 20
• Est. completion date: December 2022
• Est. primary completion date: October 2022
• Gender: All
• Age group: 17 Years and older

Eligibility

Inclusion Criteria:

• 1.skeletally mature patients (over 17 years old) including both sexes. 2.Acute fractures within 3 weeks of injury. 3.Isolated & closed fractures . 4.polytrauma trauma patients with no other injuries in the same limb.

Exclusion Criteria:

• 1. pathological fracture of proximal radius and ulna. 2. deteriorateed general health.

3. previous history of dysfunction with the affected elbow.

Related Conditions & MeSH terms

• Treatment of Terrible Triade Injury of the Elbow Joint
• Wounds and Injuries

Intervention

Behavioral:
• Functional assessment of surgical treatment of terrible triade injury of the elbow
Functional assessment of surgical treatment of terrible triade injury of the elbow

Locations

Country	Name	City	State
Egypt	Assiut University Hospital	Assiut

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Country where clinical trial is conducted

Egypt, 

References & Publications (2)

Jones ADR, Jordan RW. Complex Elbow Dislocations and the "Terrible Triad" Injury. Open Orthop J. 2017 Nov 30;11:1394-1404. doi: 10.2174/1874325001711011394. eCollection 2017. Review. — View Citation

Kani KK, Chew FS. Terrible triad injuries of the elbow. Emerg Radiol. 2019 Jun;26(3):341-347. doi: 10.1007/s10140-019-01676-1. Epub 2019 Jan 28. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Evaluation of Surgical Treatment of Terrible Triade Injury of the Elbow joint.	Functional assessment of surgical treatment of terrible triade injury of the elbow according to Mayo elbow performance score	2 years