Tratamento cirúrgico da tríade terrível do cotovelo
osteossíntese da cabeça do rádio e reparo ligamentar com âncoras
Keywords:
dislocations, elbow joint instability, surgical treatmentAbstract
Terrible triad injury of elbow is considered the most difficult injury to treat considering elbow fractures. In cases with ligament injury, a double elbow approach is usually indicated and after anatomical restoration, fixation with screws is performed. In some cases, nonconventional techniques are necessary. In this case, open reduction and internal fixation of the fracture with screws of mini and micro fragments and repair of the complex medial and lateral ligaments with the use of anchors is indicated, due to the personality and comminution of the fracture. Instability, joint stiffness and arthrosis are the most frequent complications in this injury.
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References
Bucholz RW, Heckman JD, Court-Brown CM, Torneta III P (editors). Rockwood and Green’s fractures in adults. 8th ed. Philadelphia: Lippincott; 2015.
Pugh DM, McKee MD. The “terrible triad” of the elbow. Tech Hand Up Extrem Surg. 2002;6(1):21-9.
Morrey BF, Sanchez Sotelo J, Morrey ME (editors). Morrey´s the elbolw and its disorders. 5th ed. Philadephia; 2018.
O’Driscoll SW, Jupiter JB, King GJ, Hotchkiss RN, Morrey BF. The unstable elbow. Instr Course Lect. 2001;50:89-102.
Canale ST, Beaty JH (editors). Campbell’s operative orthopaedics. 12th ed. Philadelphia: Mosby, Elsevier; 2013.
Thomas PR, Richard EB, Christopher GM. Princípios AO de tratamentos de fratura. 2ª ed. Porto Alegre: Artmed; 2009.
