• Ning Ma, Tao Yu, and Feng Yuan.
• Department of Orthopedics, Tongji Hospital of Tongji University, Shanghai, 200065, P.R.China.
• Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 Apr 1; 27 (4): 496-9.

ObjectiveTo review the injury mechanism and the treatment progress of terrible triad of the elbow, and to analyze the direction of further research.MethodsRelated literature concerning terrible triad of the elbow was extensively reviewed and comprehensively analyzed.ResultsThe main treatment of terrible triad of the elbow is operation. The ultimate goal of treatment is to reconstruct sufficient stability of the elbow. The treatment includes fixation of the coronoid by suture, screw or plate; fixation of radial head by screw and plate, partial or complete replacement of the radial head; fixation of lateral collateral ligament and the medial collateral ligament by bone suture or anchors and the application of the external fixator. These surgical treatments have their own indications and advantages, most get satisfactory results.ConclusionGenerally, surgery is needed to maintain the stability of the elbow for patients of terrible triad elbow. However, medial ligament repair or not, the choice of approach, and mechanism of injury still need further study.

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