{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:50:54Z","timestamp":1747187454228,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T00:00:00Z","timestamp":1662336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007835","name":"Wenzhou Medical University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007835","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009584","name":"Stiftung f\u00fcr klinische Forschung zur F\u00f6rderung der oralen Gesundheit","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009584","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The fixation of the coronoid fractures in terrible triad injuries is quite challenging. In this study, we introduce a minimally invasive technique using a syringe as a guide for insertion of the cannulated screw in an anterior to posterior fashion to fix the coronoid fracture in patients with terrible triad injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this retrospective study, clinical data of patients suffering from terrible triad injuries between 2012 and 2019 were analyzed. Fifteen patients with an average age of 38.2\u2009years old (21\u201356\u2009years) were enrolled in this study, of which 12 were males and three were females. The Regan\u2013Morrey type II and type III coronoid fractures in these patients were treated with cannulated screws, inserted anteriorly using a 1\u00a0mL syringe as a guide. Outcome measures included pain, range of motion, stability and daily function using Mayo Elbow Performance scores (MEPs). The anteroposterior and lateral radiographs were used for evaluating a healing fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After a mean follow up of 44.2\u2009months (range 13\u201380), the mean elbow flexion was 128.2\u00b0, extension was 12.3\u00b0, forearm pronation was 74.6\u00b0 and supination was 73.6\u00b0. A concentric reduction was maintained without severe pain, stiffness, and radiographic evidence of instability in all patients during the follow\u2010up period. The mean MEPs was 89.7 points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The anteroposterior cannulated screw fixation via simple syringe guide is a minimally invasive and safe option for surgical treatment of coronoid fractures in terrible triad injuries.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13463","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T06:20:00Z","timestamp":1662445200000},"page":"2591-2597","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anteroposterior Cannulated Screw Fixation of Coronoid Fractures in Terrible Triad Injuries: A Simple Syringe\u2010guided Technique"],"prefix":"10.1111","volume":"14","author":[{"given":"Tokai B.","family":"Cooper","sequence":"first","affiliation":[{"name":"Department of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University  Wenzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaobin","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University  Wenzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University  Wenzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinglong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University  Wenzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1276-3059","authenticated-orcid":false,"given":"Hede","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University  Wenzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feiya","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University  Wenzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,5]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"HotchkissRN.Fracture and dislocation of the elbow. 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