Fixed versus non-fixed coronoid process fractures in the treatment of terrible triad of the elbow: a meta-analysis
10.3760/cma.j.cn121113-20250126-00086
- VernacularTitle:固定与不固定冠突骨折治疗肘关节恐怖三联征的meta分析
- Author:
Yuling GAO
1
;
Maoqi GONG
;
Junlin ZHOU
Author Information
1. 首都医科大学附属北京朝阳医院骨科，北京 100020
- Publication Type:Journal Article
- Keywords:
Elbow joint;
Fractures, bone;
Fracture fixation, internal;
Meta-analysis
- From:
Chinese Journal of Orthopaedics
2025;45(13):879-885
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical efficacy of fixed and non-fixed coronoid process fractures in the treatment of terrible triad of the elbow.Methods:Databases including CNKI, Wanfang Data Knowledge Service Platform, VIP, China Medical Journal Full-text Database, PubMed, Cochrane Library, Scopus and Web of Science were searched for relevant literatures on the treatment of elbow terrible triad. Postoperative elbow function score, range of motion, postoperative complications and other information were extracted, and meta-analysis was performed using Stata 18.0 statistical software.Results:A total of 139 patients from 5 literatures were included in the meta-analysis. All included literatures were in English, and the Newcastle-Ottawa Scale scores were 7-8 points. The results of meta-analysis showed that there was no statistically significant difference in the postoperative Mayo Elbow Performance Score (MEPS) between the two groups [ SMD=-0.33, 95% CI(-0.67, 0.01), P=0.061]. In Regan-Morrey type I and O'Driscoll type I coronoid process fractures, the MEPS of the coronoid fixation group was lower than that of the non-fixation group, and the difference was statistically significant [ SMD=-0.46, 95% CI(-0.88, -0.03), P=0.032]; the upper extremity functional disability score of the coronoid fixation group was higher than that of the non-fixation group, and the difference was statistically significant [ SMD=0.45, 95% CI(0.02, 0.89), P=0.041]. There were no statistically significant differences in the postoperative elbow flexion-extension range [ SMD=-0.31, 95% CI(-0.68, 0.07), P=0.109] and pronation-supination range [ SMD=-0.14, 95% CI(-0.51, 0.24), P=0.470] between the two groups. Conclusion:In the treatment of elbow terrible triad, the postoperative joint function score of non-fixation of Regan-Morrey type I and O'Driscoll type I coronoid process fractures is better than that of fixation.
