{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:44:09Z","timestamp":1787013849498,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,4,1]],"date-time":"2015-04-01T00:00:00Z","timestamp":1427846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2015,9]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n \n The terrible triad of the elbow comprises an ulnar coronoid process fracture, a radial head (\n RH<\/jats:styled-content>\n ) fracture and posterior dislocation of the elbow. It is considered severe by many clinicians because it is difficult to repair and has a poor prognosis; therefore, it deserves more attention.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Thirty\u2010nine patients with terrible triad of the elbow characterized by a\n M<\/jats:styled-content>\n ason type\u2010\n III RH<\/jats:styled-content>\n fracture were randomly divided into either an\n RH<\/jats:styled-content>\n repair group (\n n<\/jats:italic>\n = 19) or an\n RH<\/jats:styled-content>\n replacement group (\n n<\/jats:italic>\n = 20). The complication rates, radiological outcomes,\n M<\/jats:styled-content>\n ayo\n E<\/jats:styled-content>\n lbow\n P<\/jats:styled-content>\n erformance\n S<\/jats:styled-content>\n core and range of motion of the elbow were analysed.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Follow\u2010up demonstrated no subluxation or recurrent dislocation of the elbow. Differences in surgery duration between the groups were significant (\n P<\/jats:italic>\n < 0.001). The outcomes in terms of\n M<\/jats:styled-content>\n ayo\n E<\/jats:styled-content>\n lbow\n P<\/jats:styled-content>\n erformance\n S<\/jats:styled-content>\n core (\n P<\/jats:italic>\n = 0.009), flexion\u2013extension arc (\n P<\/jats:italic>\n = 0.01) and pronation\u2013supination arc (\n P<\/jats:italic>\n = 0.04) were significantly better in the\n RH<\/jats:styled-content>\n replacement group. In addition, patients in the RH replacement group displayed significantly fewer post\u2010surgery complications than those in the\n RH<\/jats:styled-content>\n repair group (\n P<\/jats:italic>\n = 0.04).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Treating\n M<\/jats:styled-content>\n ason type\u2010\n III RH<\/jats:styled-content>\n fracture in a terrible triad of the elbow with a metal\n RH<\/jats:styled-content>\n prosthesis resulted in better clinical outcomes and fewer post\u2010surgery complications than treating a terrible triad of the elbow by repairing it with screws or plates.\n RH<\/jats:styled-content>\n replacement might be a more effective approach to better managing a terrible triad of the elbow.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ans.13060","type":"journal-article","created":{"date-parts":[[2015,4,2]],"date-time":"2015-04-02T16:54:56Z","timestamp":1427993696000},"page":"644-648","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Radial head replacement or repair for the terrible triad of the elbow: which procedure is better?"],"prefix":"10.1111","volume":"85","author":[{"given":"Mingming","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Second Xiangya Hospital Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiangdong","family":"Ni","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Xiangya Hospital Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deye","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Xiangya Hospital Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muliang","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Xiangya Hospital Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Xiangya Hospital Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Xiangya Hospital Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200903000-00003"},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"547","DOI":"10.2106\/00004623-200204000-00006","article-title":"Posterior dislocation of the elbow with fractures of the radial head and coronoid","volume":"84","author":"Ring D","year":"2002","journal-title":"J. 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