Fractures of capitellum: a review of 14 cases treated by open reduction and internal fixation with Herbert screws

Arun Pal Singh, Ajay Pal Singh, Raju Vaishya, Atul Jain, Divesh Gulati
International Orthopaedics 2010, 34 (6): 897-901
Fourteen patients with displaced fractures of the humeral capitellum were treated by open reduction and internal fixation of the capitellar fragments with Herbert screws. As per Bryan and Morrey classification, there were seven type I fractures, one type II fracture, three type III fractures, and three non-unions. Patient outcomes were evaluated using the Mayo elbow performance score. The follow-up period ranged from three to seven years (mean 4.8 years). All patients had a stable, pain-free elbow with good range of motion at follow-up. There was no evidence of avascular necrosis or degenerative change.

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