.webp&w=384&q=75){kind=logo}
Loading, please wait...
Loading, please wait...
The terrible triad injury of the elbow combines dislocation, radial head fracture and coronoid fracture and is associated with a high risk of stiffness and instability. This systematic review and meta-analysis examined one of the key intraoperative decisions: whether to repair the radial head or replace it. Across the available comparative studies, radial head arthroplasty often showed better functional scores than repair in the setting of fractures that were difficult to reconstruct. The evidence supports replacement when the radial head is non-reconstructible and its contribution to elbow stability is essential. However, the review is limited by small sample sizes and heterogeneous surgical protocols, meaning that it does not justify routine replacement for every radial head fracture. The broader principle is that the radial head should be treated as part of the elbow stabilising system, not simply as a fragment that can be discarded. Surgical strategy must integrate the coronoid injury, collateral ligament status, alignment and the patient's ability to participate in early rehabilitation. For clinicians, the practical takeaway is to plan the entire instability reconstruction before deciding how to address the radial head, because isolated implant selection cannot compensate for an incomplete stabilisation strategy.
Read summarized clinical updates, watch expert medical content, and earn CME certifications right from your smartphone.
Open your smartphone camera to scan and install.
The terrible triad injury of the elbow combines dislocation, radial head fracture and coronoid fracture and is associated with a high risk of stiffness and instability. This systematic review and meta-analysis examined one of the key intraoperative decisions: whether to repair the radial head or replace it. Across the available comparative studies, radial head arthroplasty often showed better functional scores than repair in the setting of fractures that were difficult to reconstruct. The evidence supports replacement when the radial head is non-reconstructible and its contribution to elbow stability is essential. However, the review is limited by small sample sizes and heterogeneous surgical protocols, meaning that it does not justify routine replacement for every radial head fracture. The broader principle is that the radial head should be treated as part of the elbow stabilising system, not simply as a fragment that can be discarded. Surgical strategy must integrate the coronoid injury, collateral ligament status, alignment and the patient's ability to participate in early rehabilitation. For clinicians, the practical takeaway is to plan the entire instability reconstruction before deciding how to address the radial head, because isolated implant selection cannot compensate for an incomplete stabilisation strategy.
Today
The phase 3 ACACIA-HCM trial reveals that aficamten improves cardiac structure, diastolic relaxation, functional capacity, and symptom burden in symptomatic nonobstructive hypertrophic cardiomyopathy, marking a major milestone in targeted myosin inhibition.
6 days back
A clinical study shows that automated breast ultrasound paired with artificial intelligence accurately classifies BIRADS 3-4 lesions, reaching 95% sensitivity and 79% specificity. This diagnostic advance promises to reduce unnecessary core needle biopsies and refine clinical workflows in breast imaging.
3 weeks back
Researchers have engineered freestanding hierarchical-porous BCZT thin films that resist cracking and enhance ultrasonic energy harvesting in soft tissue. Achieving high piezoelectric output and acoustic matching, this lead-free material offers transformative potential for implantable bioelectronics.
6 days back
A novel pathology-adaptive surface engineering strategy uses functionalized plasma polymer coatings to selectively modulate AGE adsorption, reducing oxidative stress and restoring bone formation in diabetic and aging microenvironments.
3 weeks back
A breakthrough study identifies the Klotho/PKCα/CUX1/SPARC/TGFβ-RII axis as a critical driver of podocyte mitochondrial injury and ferroptosis in diabetic kidney disease, unveiling promising molecular targets to halt renal disease progression.
6 days back
