{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:28:07Z","timestamp":1786739287825,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Terrible triad of elbow injury (TTI) has great potential for joint instability with a relatively poor prognosis. Different surgical methods have been introduced for radial head fractures. In this study, we aimed to evaluate the results of treatment of radial head fractures with open reduction and internal fixation (ORIF) and resection in TTI patients when radius head replacement was not attainable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>In this retrospective study, 48 patients with TTI who underwent radial head fracture surgery with ORIF (n = 33) or resection (n = 15) were included. During follow-up, patients were evaluated for elbow range of motion (ROM), pain score, complications, need for reoperation, and Mayo Elbow Performance Score (MEPS). ORIF and resection groups were followed for 49.47 \u00b1 28.58 and 52.79 \u00b1 23.57 months, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Compared to the resection group, the ORIF group had significantly better ROM in extension and pronation and lower supination, although, when compared with a subgroup of mason type III fractures, the resection group had substantially better ROM in extension, pronation, and supination and better MEPS. The resection group had lower rates of pain score, instability, arthritis, heterotopic ossification, and need for reoperation compared to ORIF and its subgroup; however, the difference was not significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Compared to resection of radial head fractures in TTI, ORIF had significantly better ROM overall, but resection efficacy was better than ORIF when comparing the Mason type III fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/abr.abr_136_22","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T13:02:12Z","timestamp":1753102932000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Open Reduction and Internal Fixation Versus Resection of the Radial Head to Treat Terrible Triad Injury of the Elbow: What if Radial Head Replacement is not Possible?"],"prefix":"10.4103","volume":"14","author":[{"given":"Hossein","family":"Aslani","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehrdad","family":"Zamani Esfahlani","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MirBahador","family":"Athari","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohrab","family":"Salimi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Sadighi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mojtaba","family":"Baroutkoub","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bardia","family":"Hajikarimloo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Shahid Beheshti University of Medical Sciences, School of Medicine, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmadreza","family":"Mirbolook","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6]]},"reference":[{"key":"R1-20250721","doi-asserted-by":"crossref","first-page":"102784","DOI":"10.1016\/j.otsr.2020.102784","article-title":"Renaud Siboni: Surgical treatment of terrible triad of the elbow","volume":"107","author":"Ohl","year":"2021","journal-title":"Orthop Traumatol Surg Res"},{"key":"R2-20250721","doi-asserted-by":"crossref","first-page":"2297","DOI":"10.1016\/j.jhsa.2015.04.039","article-title":"Terrible Triad Injuries of the Elbow","volume":"40","author":"Chen","year":"2015","journal-title":"J Hand Surg 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Elbow"},{"key":"R6-20250721","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1097\/BTH.0b013e31822911fd","article-title":"Rehabilitation considerations in the management of terrible triad injury to the elbow","volume":"15","author":"Pipicelli","year":"2011","journal-title":"Tech Hand Up Extrem Surg"},{"key":"R7-20250721","first-page":"102","article-title":"Surgical treatment of the radial head is crucial for the outcome in terrible triad injuries of the elbow","author":"Klug","year":"2020","journal-title":"Bone Joint J"},{"key":"R8-20250721","first-page":"403","article-title":"Result from surgical treatment on the terrible triad of the elbow","volume":"50","author":"de Aquino Santos","year":"2015","journal-title":"Rev Bras Ortop"},{"key":"R9-20250721","first-page":"100","article-title":"Radial head resection versus prosthetic arthroplasty in terrible triad injury: A retrospective comparative cohort study","author":"Najd Mazhar","year":"2018","journal-title":"Bone Joint J"},{"key":"R10-20250721","first-page":"365","article-title":"The best option in treatment of modified mason type iii radial head fractures: Open reduction and internal fixation versus radial head excision","volume":"6","author":"Zarifian","year":"2018","journal-title":"Arch Bone Jt Surg"},{"key":"R11-20250721","doi-asserted-by":"crossref","first-page":"76","DOI":"10.2106\/JBJS.C.01323","article-title":"Comminuted fractures of the radial head, comparison of resection and internal fixation","volume":"87","author":"Ikeda","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"R12-20250721","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/BOT.0b013e318220a227","article-title":"Thesurgical treatment of isolated mason type2 fractures of the radial head in adults: Comparison between radial head resection andopen reduction andinternal fixation","volume":"26","author":"Zarattini","year":"2012","journal-title":"J Orthop 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Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_136_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:27:36Z","timestamp":1786735656000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_136_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/abr.abr_136_22","relation":{},"ISSN":["2277-9175"],"issn-type":[{"value":"2277-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2022-04-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}