外固定架联合缝合锚钉治疗肘关节恐怖三联征

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Abstract Objective To investigate the clinical efficacy of hinged external fixator combined with suture anchor in the treatment of terrible triad of the elbow.Methods A retrospective analysis of 27 patients(sex：16 males and 11 females；aged 23 to 59 years，mean 37.8 ) with “terrible triad of the elbow” from March 2013 to June 2017 was performed.All patients underwent hinged external fixation combined with suture anchor.At the last follow-up，the elbow function were assessed according to Mayo elbow function evaluation standard.Results All patients were followed up for 12 to 33 months with a mean of 18.4 months.According to Mayo elbow function evaluation standard，the results were excellent in 18 cases，good in 5 cases，fair in 3 cases，and poor in 1 cases，with an excellent and good rate of 85.2%.During the follow-up 3 case had heterotopic ossification of the elbow and 2 cases had elbow traumatic arthritis.Radiology showed that all fractures healed，no complications such as vascular nerve，infection，internal fixation loosening and so on.Conclusion Hinged external fixator with suture anchors can achieve good reduction and fixation，restore the stability of the elbow joint，less complications in the treatment of terrible triad of the elbow，and the clinical effect is reliable.

Key words： terrible triad of the elbow hinged external fixator suture anchor internal fixation

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