Technical Trick: Coronoid Fracture “Lasso” Repair Using Arthroscopic Instrumentation in Terrible Triad Injuries With Fixable Radial Head Fractures

A single-stage operative repair of terrible triad injuries through a laterally-based approach using arthroscopic instrument-assisted reduction of the coronoid fracture in cases in which the radial head is deemed appropriate for repair rather than arthroplasty is described in this technical trick. Using an arthroscopic suture lasso, adjustable drill guides, cannulated guide-pins with nitinol shuttling wires, and a suspensory cortical button allow for a more precise and facile technique of "lasso" fixation of coronoid fractures and anterior capsular injuries with intact radial heads in terrible triad injuries.

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Publication Details

Journal
Journal of Orthopaedic Trauma
Published
2025-07-18
DOI
https://doi.org/10.1097/bot.0000000000002982
Primary Topic
Elbow and Forearm Trauma Treatment
Type
article
Field-Weighted Citation Impact
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article

Technical Trick: Coronoid Fracture “Lasso” Repair Using Arthroscopic Instrumentation in Terrible Triad Injuries With Fixable Radial Head Fractures

Matthew V. Abola, Jadie De Tolla, Andrew S. Bi, Abhishek Ganta et al.
Journal of Orthopaedic Trauma
Elbow and Forearm Trauma Treatment
article

Technical Trick: Coronoid Fracture “Lasso” Repair Using Arthroscopic Instrumentation in Terrible Triad Injuries With Fixable Radial Head Fractures

Matthew V. Abola, Jadie De Tolla, Andrew S. Bi, Abhishek Ganta, Sanjit R. Konda, Carolyn F. Herbosa
article en

Abstract

A single-stage operative repair of terrible triad injuries through a laterally-based approach using arthroscopic instrument-assisted reduction of the coronoid fracture in cases in which the radial head is deemed appropriate for repair rather than arthroplasty is described in this technical trick. Using an arthroscopic suture lasso, adjustable drill guides, cannulated guide-pins with nitinol shuttling wires, and a suspensory cortical button allow for a more precise and facile technique of "lasso" fixation of coronoid fractures and anterior capsular injuries with intact radial heads in terrible triad injuries.

Journal of Orthopaedic TraumaVol. 39(8S)
NYU Langone Health (US)
Openalex Percentile: Top 75%
Elbow and Forearm Trauma Treatment
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