Evidence map›Paper›PMID 41541014›Full record

ArticleIndian journal of orthopaedics2026

Functional Outcome of Surgical Treatment of Terrible Triad of the Elbow: A Prospective Study.

Saravana Kumar, Vejaya Kumar, Saravanan Kasirajan

Abstract read
In one paragraph

Article in Indian journal of orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper 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
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

3 authors.

Saravana KumarDepartment of Orthopaedics, Vinayaka Mission's Medical College and Hospital, Vinayaka Mission's Research Foundation (Deemed to Be University), Karaikal, Puducherry, India.
Vejaya KumarDepartment of Orthopaedics, Vinayaka Mission's Medical College and Hospital, Vinayaka Mission's Research Foundation (Deemed to Be University), Karaikal, Puducherry, India.ORCID 0009-0000-6938-7475
Saravanan KasirajanDepartment of Orthopaedics, Vinayaka Mission's Medical College and Hospital, Vinayaka Mission's Research Foundation (Deemed to Be University), Karaikal, Puducherry, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The terrible triad of the elbow posterior dislocation combined with radial head and coronoid process fractures presents significant treatment challenges due to its inherent instability and high complication risk. Early recognition and standardized surgical intervention are critical for restoring function and minimizing disability. Objectives: To evaluate the functional outcomes, complication rates, and patient satisfaction following standardized surgical treatment for the terrible triad of the elbow. Methods: This prospective observational study included 18 patients aged 28-55 years who underwent surgery for the terrible triad injury at a tertiary care center. The surgical interventions included radial head fixation or arthroplasty, coronoid process fixation, and lateral ulnar collateral ligament (LUCL) repair. The functional outcomes were assessed using the Mayo Elbow Performance Score (MEPS), Disabilities of the Arm, Shoulder and Hand (DASH), Visual Analog Scale (VAS), range of motion (ROM), and American Shoulder and Elbow Surgeons (ASES) scores. Patients were followed at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months. The statistical analysis was performed using Wilcoxon signed-rank and Spearman correlation tests. Results: Postoperative MEPS improved significantly from a mean of 41.44 to 90.17 ( Conclusion: Standardized surgical protocols for terrible triad injuries of the elbow yield excellent functional recovery, improved mobility, and effective pain control. Early intervention, structured rehabilitation, and careful patient selection are essential for optimizing outcomes and minimizing complications.

Indexed as

Coronoid process fixationElbow dislocationFunctional outcomeRadial head fractureTerrible triad injury

Identifiers

PMID41541014
PMCPMC12799811

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.