Osteosynthesis and radial head arthroplasty achieve comparable and favorable results in terrible triad injury: a systematic review using propensity score matching
The terrible triad literature reports data across wide ranges of patients ages and the treatment allocation for the radial head is commonly based on fracture severity. These observations raise the question of selection bias which can hinder comparative efficacy. Propensity score matching analysis ma...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-06-01
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| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Online Access: | https://doi.org/10.1177/22104917241256661 |
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| _version_ | 1850128867110420480 |
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| author | John J Heifner Asdrubal E Rivera Dones A Laurie Wells Christopher W Reb Deana M Mercer |
| author_facet | John J Heifner Asdrubal E Rivera Dones A Laurie Wells Christopher W Reb Deana M Mercer |
| author_sort | John J Heifner |
| collection | DOAJ |
| description | The terrible triad literature reports data across wide ranges of patients ages and the treatment allocation for the radial head is commonly based on fracture severity. These observations raise the question of selection bias which can hinder comparative efficacy. Propensity score matching analysis may provide better control of patient variables and treatment allocation. We convey two conclusions from this analysis. Firstly, clinical outcome metrices were favorable for both radial head arthroplasty and open reduction internal fixation following terrible triad injury. This finding supports the recent literature which describe satisfactory outcomes for acute surgical management of these injuries. Secondly, the analysis suggests that revision rates may be lower for both treatment options than previously reported in the literature. |
| format | Article |
| id | doaj-art-783f579aee2b449eab04e148c809175d |
| institution | OA Journals |
| issn | 2210-4925 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj-art-783f579aee2b449eab04e148c809175d2025-08-20T02:33:09ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49252025-06-013210.1177/22104917241256661Osteosynthesis and radial head arthroplasty achieve comparable and favorable results in terrible triad injury: a systematic review using propensity score matchingJohn J Heifner0Asdrubal E Rivera Dones1A Laurie Wells2Christopher W Reb3Deana M Mercer4 Miami Orthopaedic Research Foundation, USA , Puerto Rico Department of Orthopaedics and Rehabilitation, , USA Department of Orthopaedic Surgery, Penn State University, USA Department of Orthopaedics and Rehabilitation, , USAThe terrible triad literature reports data across wide ranges of patients ages and the treatment allocation for the radial head is commonly based on fracture severity. These observations raise the question of selection bias which can hinder comparative efficacy. Propensity score matching analysis may provide better control of patient variables and treatment allocation. We convey two conclusions from this analysis. Firstly, clinical outcome metrices were favorable for both radial head arthroplasty and open reduction internal fixation following terrible triad injury. This finding supports the recent literature which describe satisfactory outcomes for acute surgical management of these injuries. Secondly, the analysis suggests that revision rates may be lower for both treatment options than previously reported in the literature.https://doi.org/10.1177/22104917241256661 |
| spellingShingle | John J Heifner Asdrubal E Rivera Dones A Laurie Wells Christopher W Reb Deana M Mercer Osteosynthesis and radial head arthroplasty achieve comparable and favorable results in terrible triad injury: a systematic review using propensity score matching Journal of Orthopaedics, Trauma and Rehabilitation |
| title | Osteosynthesis and radial head arthroplasty achieve comparable and favorable results in terrible triad injury: a systematic review using propensity score matching |
| title_full | Osteosynthesis and radial head arthroplasty achieve comparable and favorable results in terrible triad injury: a systematic review using propensity score matching |
| title_fullStr | Osteosynthesis and radial head arthroplasty achieve comparable and favorable results in terrible triad injury: a systematic review using propensity score matching |
| title_full_unstemmed | Osteosynthesis and radial head arthroplasty achieve comparable and favorable results in terrible triad injury: a systematic review using propensity score matching |
| title_short | Osteosynthesis and radial head arthroplasty achieve comparable and favorable results in terrible triad injury: a systematic review using propensity score matching |
| title_sort | osteosynthesis and radial head arthroplasty achieve comparable and favorable results in terrible triad injury a systematic review using propensity score matching |
| url | https://doi.org/10.1177/22104917241256661 |
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