Outcomes of Fixation of Radial Head Fractures with Kirschner Wire (K-Wire) in Adult Patients with Terrible Triad of Elbow Dislocations

Background: elbow dislocation is one of the most prevalent dislocations among adults, following shoulder dislocation. the present study aimed to evaluate the effects of kirschner wire (k-wire) on fixation of comminuted radial head fracture when radial head prosthesis is inaccessible in terrible triad of elbow (tte) dislocation. methods: in this retrospective study, a total of 21 adult patients with tte dislocation, who were scheduled for fixation of radial head using k-wire, were enrolled according to the inclusion criteria. variables, such as supination, pronation, range of flexion-extension motion, forearm rotation, and mayo elbow performance score (meps) index, were measured, and the patients were followed-up for 1 postoperative year. results: after surgery, the mean forearm rotation and elbow joint flexion-extension range of motion were 121.42±29.71 and 115.23± 32.34 in patients with tte dislocation, respectively. regarding the meps results, the mean meps score was above 70, and the majority of patients showed good performance in the follow-up. conclusions: considering the limitations and side effects of prosthesis in tte dislocation, k-wire can be used as an effective approach for fixing comminuted radial head fractures, such as tte dislocation.