The horrific triad of the elbow joint is a posterior joint dislocation of the elbow joint caused by high-efficiency energy damage to the upper arm, combined with a fracture of the coronoid process of the ulna and a fracture of the radial head. Most of the horrific triad requires surgical treatment due to instability, open reduction and endoplasty. Fractures of the coronoid process of the ulna can be treated with lasso surgery, sutures and K-wire internal fixation. Slightly moved radius Head fractures can be internally fixed with hollow pressure screws. For severe radial head fractures, radial head fusion can be performed. At the same time, the accessory tendons on both sides need to be repaired. If the bone joint is unstable after reduction, you can use an external fixator to perform initial elbow joint functional exercises under the protection.
The horrific triad of the elbow joint is not a commonly used disease in medicine, but this type of damage is relatively complicated. The key point is that the patient has posterior joint dislocation of the elbow joint, and at the same time, there is a fracture of the radial head and a coronoid fracture of the ulna, which will destroy the stability of the elbow joint. Surgical treatment is required. Open reduction can be performed under anesthesia, and endoplasty can be performed to repair the anatomical structure of the elbow joint and maintain the stability of the elbow joint position. After the operation, orthotics and plaster of paris must be used for immobilization. Initial elbow joint functional exercises can be carried out under the guidance of a rehabilitation physician to avoid traumatic arthritis of the elbow joint, local muscle atrophy or bone disease. Joint stiffness and other conditions.
The horrific triad of elbow joints is a commonly used injury in clinical trauma and orthopedics, and it is also a type of injury that is very poorly treated. The horrific triad refers to a violent injury that results in fractures around the elbow joint, including fractures of the olecranon of the ulna, fractures of the radial head, and dislocation of the elbow joint. In the process of the occurrence of the terrible triad, due to the combined damage to the tendons around the elbow joint, significant instability of the elbow joint occurs. Therefore, surgical treatment is currently considered for the terrible triad of the elbow joint, based on proactive surgical treatment. , try to restore the stability of the elbow joint as much as possible and avoid old elbow joint instability after surgery.
The horrific triad of the elbow joint is a relatively technical term, which specifically refers to the dislocation of the elbow joint after severe trauma to the elbow joint, accompanied by fracture of the anterior coronal process of the ulna and fracture of the radial head. The stability of the elbow joint is damaged and fractures occur, so surgical treatment is often recommended for the horrific triad. The first step in surgical treatment is to reduce the dislocation of the elbow joint. After the reduction is completed, the fracture of the coronal process in front must be reduced and immobilized. At the same time, the fractures of the radial head on both sides must be reduced and immobilized. If compared Serious radial head replacement. In addition, according to the stability of the elbow joint after reduction, if the stability is not very good, the medial collateral ligament can be explored and repaired, and the accessory tendons on both sides can be explored and repaired.