[摘要]目的：探讨“肘关节恐怖三联征”的治疗方法和疗效，报告11例患者的临床治疗体会。方法：肘关节三联征损伤11例，均采取了手术内固定或者置换，修复肘内外侧复合体，术后屈肘90°前臂中立位石膏外固定3周内，开始康复锻炼。结果：11例手术治疗患者均经3月-3年随访，骨折愈合，肘关节稳定，无疼痛。肘关节屈伸幅度平均110°，前臂旋转幅度平均100°。5例随访1年以上，Mayo肘关节功能评分：优10例，良1例。结论：肘关节恐怖三联征肘关节严重不稳定。只有在重建了骨关节和软组织结构稳定的基础上，及早进行康复锻炼，才能获得较好的功能恢复。

    [关键词]恐怖三联征；肘关节后脱位；桡骨头骨折；尺骨冠突骨折；内固定

    [Abstract]Objective:To introduce the new concept of “terrible triad of the elbow”, and report the preliminary results of 5 clinical cases. Methods:From April 2004 to March 2007, five cases met the diagnosis of terrible triad, with posterior dislocation of elbow complicated with radial head and coronoid fractures. The fractured radial head and coronoid were reduced and fixed with 3mm titanic lag screws or K wires, the lateral and medial collateral ligaments were repaired with Krachow sutures. A plaster of Paris was applied for 3 weeks after operation, in position with elbow flexion in 90 degrees and forearm rotation in neutral. Then physical exercise and rehabilitation proram were carried out. Results:Four operated patients were followed up for 3 months to 3 years, with healed fractures, stable elbow and no pain movement. The average range of elbow flexion-extension was 110 degrees, and forearm pronation-supination was 100 degrees, respectively. The functional outcome in 3 cases that followed up more than 1 year was excellent in 2 and good in 1 according to Mayo Elbow Performance Score(MEPS). The result of the un-operated case was poor in MEPS ......