@entity3029 with XXXX : the results of operative treatment without repair of the @entity10036 .

@entity1 @entity174 @entity10036 @entity7334 @entity717 @entity3029
PURPOSE: To determine the effectiveness of a protocol for the treatment of @entity174 of the elbow based on the concept that, if @entity3029 with associated @entity174 can be made to resemble a simple @entity3029 by repairing or reconstructing the fractured structures, repair of the @entity10036 ( @entity10036 ) will not be necessary. METHODS: Over a 5-year period, a single surgeon operated on 34 @entity1 with a @entity3029 associated with one or more @entity7334 . The mean age of these 19 @entity1 and 15 @entity1 was 48 years. Associated @entity174 included the capitellum, trochlea, and lateral epicondyle in 3 @entity1 ; the olecranon in 1 @entity1 ; and the radial head in 30 @entity1 (with concomitant @entity174 of the coronoid process-the so-called "terrible triad" of the elbow-in 22 @entity1 , and concomitant @entity174 of the coronoid and olecranon in 1 @entity1 ). Operative treatment consisted of open reduction internal fixation (ORIF) or prosthetic replacement of all @entity174 and reattachment of the origin of the lateral collateral ligament (LCL) complex to the lateral epicondyle. The @entity10036 was not repaired. RESULTS: Two @entity1 (1 with a terrible triad injury and 1 with @entity174 of the capitellum and trochlea) had postoperative instability related to noncompliance, had reconstructive procedures, and were considered failures. An average of 32 months after injury, the remaining 32 @entity1 regained an average of 120 degrees ulnohumeral motion and 142 degrees @entity717 . Twenty-five of 34 @entity1 (74%) had good or excellent results according to the system of Broberg and Morrey. @entity1 with terrible triad injuries had an average of 117 degrees ulnohumeral motion and 137 degrees @entity717 , and 17 of 22 @entity1 (77%) had good or excellent results. CONCLUSIONS: @entity10036 repair is unnecessary in the treatment of @entity3029 with associated @entity7334 , provided that the articular @entity174 and the LCL are repaired or reconstructed.
