Outcome of Failed and Neglected Terrible Triad Injury of the Elbow

NCT05687734 | Unknown

• 1 other identifier: Outcome of elbow injury
• Study Type: observational
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of the study is to evaluate the results of reconstruction of neglected and failed cases of terrible triad of the elbow

Conditions

Elbow Injury

Outcome Measures

Primary Outcomes (1)

• The final end results will be assessed according to degree of improvement according to DASH score performance index

  The final end results will be assessed according to degree of improvement according to DASH score performance index (The disability of the arm, shoulder and hand)(is an upper-extremity specific outcome measure that was introduced by the American Academy of Orthopedic Surgeons in collaboration with a number of other organizations)(The main part of the DASH is a 30-item disability/symptom scale concerning the patient's health status during the preceding week. The items ask about the degree of difficulty in performing different physical activities because of the arm, shoulder, or hand problem (21 items), the severity of each of the symptoms of pain, activity-related pain, tingling, weakness and stiffness (5 items), as well as the problem's impact on social activities, work, sleep, and self-image (4 items). Each item has five response options. The scores for all items are then used to calculate a scale score ranging from 0 (no disability) to 100 (most severe disability).

  DASH score assessment preoperative and at 4,8 weeks 6 months and 1 year postoperative.Follow up:2 weeks postoperative for stitches removal, 6 weeks by x ray to assess reunion, 3 and 6 months by x ray to assess reunion.1 year by MSCT to assess reunion

Eligibility Criteria

• Age: 15 Years - 70 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

• All cases fulfilling the Inclusion and Exclusion Criteria admitted to Assuit university over two year from the beginning of the study.

You may qualify if:

• Age from 15 to 70 years' old
• Neglected cases more than 4 weeks
• Early failed cases whom had any intervention whether conservative treatment as cast or hinged elbow brace etc or operative and still complaining of instability of the elbow. In less than 6 weeks
• Late Failed cases whom had any intervention whether conservative treatment as cast or hinged elbow brace etc or operative and still complaining of instability of the elbow after more than 6 weeks .

You may not qualify if:

• Older than 70 years old and younger than 15 years old
• Nerve injury
• Associated soft tissue loss
• Patients needs Total Elbow Replacement or Arthrodesis

Sponsors & Collaborators

• Assiut University: lead

Related Publications (6)

• Kachooei AR, Mellema JJ, Tarabochia MA, Chen N, van Dijk CN, Ring D. Involvement of the lesser sigmoid notch in elbow fracture dislocations. J Shoulder Elbow Surg. 2016 Oct;25(10):1571-6. doi: 10.1016/j.jse.2016.02.013. Epub 2016 May 24.

  PMID: 27233485 BACKGROUND

• Giannicola G, Calella P, Piccioli A, Scacchi M, Gumina S. Terrible triad of the elbow: is it still a troublesome injury? Injury. 2015 Dec;46 Suppl 8:S68-76. doi: 10.1016/S0020-1383(15)30058-9.

  PMID: 26747922 BACKGROUND

• Zhang J, Tan M, Kwek EBK. Outcomes of coronoid-first repair in terrible triad injuries of the elbow. Arch Orthop Trauma Surg. 2017 Sep;137(9):1239-1245. doi: 10.1007/s00402-017-2733-8. Epub 2017 Jun 20.

  PMID: 28634742 BACKGROUND

• Fitzgibbons PG, Louie D, Dyer GS, Blazar P, Earp B. Functional outcomes after fixation of "terrible triad" elbow fracture dislocations. Orthopedics. 2014 Apr;37(4):e373-6. doi: 10.3928/01477447-20140401-59.

  PMID: 24762843 BACKGROUND

• Ritali A, Rotini R, Cavallo M, Marinelli A, Guerra E. Instability/stiffness in elbow fracture dislocation. Lo Scalpello-Journal. 2020 Mar 22;34:30-5.

  BACKGROUND

• Sun Z, Li J, Luo G, Wang F, Hu Y, Fan C. What constitutes a clinically important change in Mayo Elbow Performance Index and range of movement after open elbow arthrolysis? Bone Joint J. 2021 Feb;103-B(2):366-372. doi: 10.1302/0301-620X.103B2.BJJ-2020-0259.R3.

  PMID: 33517717 BACKGROUND

MeSH Terms

Conditions

Elbow Injuries

Condition Hierarchy (Ancestors)

Arm Injuries; Wounds and Injuries

Study Officials

• Aly Mohamden Mohamed, Professor

  Assiut University

  STUDY DIRECTOR

• Waleed Riad Saleh, Professor

  Assiut University

  STUDY DIRECTOR

Central Study Contacts

Momen Moustafa Mohamed, specialist

CONTACT

+201141130033; momenmoustafa87@gmail.com

Ayman Farouk Abdelkawi, Lecturer

CONTACT

+201005460273; aymanfaaa@aun.edu.eg

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor

Study Record Dates

• First Submitted: December 15, 2022
• First Posted: January 18, 2023
• Study Start: March 1, 2023
• Primary Completion: October 30, 2024
• Study Completion: December 30, 2024
• Last Updated: January 18, 2023

Record last verified: 2023-01