Evidence map›Paper›PMID 32201696›Full record

ReviewBulletin of emergency and trauma2020

Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis.

Mukesh Kumar Meena, Karmbeer Singh, Sanjay Meena, Chetan Kumbhare, Dushyant Chouhan

Abstract readReview
In one paragraph

Review in Bulletin of emergency and trauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Which is the optimal surgical strategy for the terrible triad of the elbow?Journal of orthopaedic surgery and research · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Dislocations of the elbow - An instructional review.Journal of clinical orthopaedics and trauma · 2021
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mukesh Kumar MeenaDepartment of Orthopedics, Lady Hardinge Medical College(LHMC) and Associated Hospitals, New Delhi, India .
Karmbeer SinghDepartment of Orthopedics, Lady Hardinge Medical College(LHMC) and Associated Hospitals, New Delhi, India .
Sanjay MeenaDepartment of Orthopedics, Lady Hardinge Medical College(LHMC) and Associated Hospitals, New Delhi, India .
Chetan KumbhareDepartment of Orthopedics, Lady Hardinge Medical College(LHMC) and Associated Hospitals, New Delhi, India .
Dushyant ChouhanDepartment of Orthopedics, Lady Hardinge Medical College(LHMC) and Associated Hospitals, New Delhi, India .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo find out which surgical approach, optimize the functional outcomes and reduce the risk of complications in terrible triad of elbow".

methodsMedline, EMBASE, Cochrane Library, and Google Scholar were searched to identify relevant studies, which were included if they were retrospective or prospective in design, involved participants who had terrible triad of elbow (TTIE) that compared lateral approach (LA) with combined lateral and anteromedial approach (CML), and were published in English. Outcomes of interest were functional outcomes, complications, and operative time.

resultsFour studies, involving 470 patients were included in the systematic review. Mean follow up after surgery was typically 24 to 30 months. We found significant more range of motion (ROM) of elbow in CML as compared to LA group (MD: -14.21, 95% CI: -21.13 to-7.29,

conclusionOur analysis demonstrated that combined lateral and medial approach had significantly more elbow ROM and forearm rotation. The combined approach also had significantly more MEPS. However, using combined approach significantly increased the operative time.

Indexed as

Operative approachesPostoperative complicationsTerrible triad of the elbow

Identifiers

PMID32201696
PMCPMC7071937

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.