Evidence map›Paper›PMID 40486766›Full record

ArticleJSES international2025

Differences in outcome and complications between 2 distinct complex traumatic elbow instability patterns. A retrospective comparison of terrible triad and olecranon fracture dislocations.

Ashok S Gavaskar, Naveen C Tummala, Parthasarathy Srinivasan, Prakash Ayyadurai, Ashwath Ca, Bharath Chand

Abstract read
In one paragraph

Article in JSES international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline 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. 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

6 authors.

Ashok S GavaskarRela Institute and Medical Centre, Chennai, India.
Naveen C TummalaSwaram Hospital, Chennai, India.
Parthasarathy SrinivasanRela Institute and Medical Centre, Chennai, India.
Prakash AyyaduraiRela Institute and Medical Centre, Chennai, India.
Ashwath CaRela Institute and Medical Centre, Chennai, India.
Bharath ChandRela Institute and Medical Centre, Chennai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Terrible triad (TT) of the elbow and olecranon fracture dislocation (OFD) injuries are a combination of 2 different types of unstable fracture dislocation injuries classified under traumatic elbow instability patterns. Despite the differences in injury mechanisms, similarities in the structures disrupted and treatment principles make it meaningful to compare outcomes and complications after surgical treatment of these injuries. Methods: We reviewed data of 91 patients who underwent surgical treatment for TT injuries and olecranon fracture dislocations and were assessed for inclusion during the study period between 2012 and 2021. After exclusions, 79 patients (TT: 44; olecranon fracture dislocations: 35) were included for analysis. Elbow and forearm range of motion, joint stability, and other procedure and injury-related complications were assessed and compared at a mean follow-up of 49 ± 18 months. Functional outcome was analyzed using the Mayo Elbow Performance Score (MEPS); Oxford Elbow Score; and the Quick Disabilities of the Arm, Shoulder, and Hand scores. Results: Patients with TT had significantly better flexion-extension arc ( Conclusion: Good-to-excellent functional outcome can be expected in majority of patients with TT and OFDs. Complications are common and can be expected in more than 40% of patients. Secondary surgical interventions may be needed in more than 25% of patients.

Indexed as

Complex elbow dislocationElbow fracture dislocationElbow instabilityOlecranon fracture dislocationTerrible triadTransolecranon fracture dislocation

Identifiers

PMID40486766
PMCPMC12145017

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.