La terrible triade du coude : prise en charge chirurgicale lors defractures non reconstructibles de la tête radiale

The terrible triad is the combination of a posterior dislocation of the elbow, radial headand coronoid process fractures. The goal of this study is to evaluate our clinical results aftermedial capsulo-ligamentar plan reinsertion, radial head replacement and lateral collateralligament reinsertion, through a lateral approach.This is a retrospective study of 13 patients with terrible triad whose radial head fracture isnon-reparable, operated between 2005 and 2010.The mean follow-up was 39 months. At latest follow-up, the mean Mayo ElbowPerformance Scale was 88/100, the mean Quick Dash was 23/100, and the mean Broberg andMorrey score was 93/100. The mean range of motion of the elbow was 120°. The meanflexion was 137°, and the mean extension -17°. The strength and the stability was 100%.Three complications occurred.The standard surgical technique used provided good functional outcome