{
  "abstract": "Purpose\n\nTo evaluate surgical outcomes of acute terrible triad injuries of the elbow treated without radial head prostheses or hinged external fixation and to identify factors associated with recovery in a resource-limited setting.Methods\n\nWe retrospectively reviewed 30 of 151 eligible adults treated surgically between January 2021 and June 2024 at a tertiary trauma center in Vietnam. Mean follow-up was 13.9 ± 8.9 months. Outcomes included Mayo Elbow Performance Score (MEPS), Subjective Elbow Value, range of motion, radiographic findings, instability, and complications. Radial head fixation was performed in 66.7%, excision in 13.3%, coronoid fixation in 80%, lateral collateral ligament repair in 73.3%, and medial collateral ligament (MCL) repair in 33.3%.Results\n\nMean MEPS was 81.2 ± 13.9, with 76.7% achieving good-to-excellent outcomes. Overall instability occurred in 40%, while concentric reduction was maintained in 73.3% and subluxation occurred in 26.7%. Radial head nonunion occurred in 15% of fixation cases. Radial head excision without MCL repair was associated with increased valgus carrying angle, while supervised physiotherapy was associated with a smaller extension deficit. No deep infections or reoperations were recorded. However, 3 of 18 patients treated with trans-humeral K-wires (16.7%) sustained iatrogenic olecranon fractures. Radiographic arthritis occurred in 50%.Conclusions\n\nAcceptable short-term functional outcomes can be achieved despite limited implant availability, but instability and radiographic complications remain substantial. Given the 19.9% follow-up rate, findings should be interpreted cautiously because of potential selection bias. Radial head preservation and MCL repair when excision is unavoidable are recommended, while trans-humeral K-wire stabilization should be used selectively.Type of study/level of evidence\n\nTherapeutic IV.",
  "abstract_shown": true,
  "affiliations": [
    "Hospital for Traumatology and Orthopaedics, Ho Chi Minh City, Vietnam.",
    "University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Hoa Thi My Pham"
    },
    {
      "affs": [
        1
      ],
      "name": "Hung Phuoc Do"
    },
    {
      "affs": [
        0
      ],
      "name": "Thy Gia Anh Le"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2zv4p1x120fy6.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jhsg.2026.101166",
  "fulltext_url": "https://europepmc.org/articles/PMC13679288",
  "id": "2zv4p1x120fy6",
  "issns": [
    "2589-5141"
  ],
  "landing_url": "https://europepmc.org/article/MED/42898830",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2742|Elbow and Forearm Trauma Treatment"
    ]
  ],
  "openalex": "W7221507149",
  "pdf_url": "https://europepmc.org/articles/PMC13679288?pdf=render",
  "pmcid": "PMC13679288",
  "pmid": "42898830",
  "published": "2026-10-12",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/2zv4p1x120fy6.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:33Z",
      "native_id": "MED:42898830",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42898830"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2746|Orthopedic Surgery and Rehabilitation",
      "subfield": "surgery"
    }
  ],
  "title": "Surgical Outcomes of Terrible Triad Injuries of the Elbow in a Resource-Limited Setting: A Consecutive Case Series.",
  "title_text": "Surgical Outcomes of Terrible Triad Injuries of the Elbow in a Resource-Limited Setting: A Consecutive Case Series.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:33Z",
  "url": "https://research.draconitic.com/paper/2zv4p1x120fy6",
  "venue": "Journal of hand surgery global online",
  "versions": []
}