• Users Online: 254
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2013  |  Volume : 48  |  Issue : 4  |  Page : 335-338

Herbert screw fixation of capitellar fractures


Department of Orthopedic, Benha University, Benha, Egypt

Correspondence Address:
Amr S Elgazzar
Benha University, 13111, Benha
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-1148.130392

Rights and Permissions

Background Capitellar fractures are rare injuries. Controversy regarding the management of these injuries still continues. If anatomy is not reconstructed accurately, elbow function is suboptimal. The most accepted treatment of capitellar fractures is by open reduction and internal fixation. Recently, Herbert screw system has been recommended for fixation of osteochondral fractures. Objective The aim of this study was to evaluate the outcome of Herbert screw fixation in the treatment of capitellar fractures. Patients and methods Between May 2007 and July 2010, 10 patients with displaced fractures of the humeral capitellum were treated by open reduction and internal fixation of the capitellar fragments with Herbert screws in Benha University Hospital and Benha insurance hospitals. The mean follow-up period was 14 months (range 6-24 months) and the mean age was 37 years (range 20-48 years). Results All patients were evaluated according to the Mayo elbow performance score. Overall, six patients' results were found to be excellent and that of four were good. All patients were satisfied with the operative outcome and had a stable pain-free elbow with good range of motion at follow-up without any avascular necrosis or arthritic changes. The mean extension of the elbow was 7.5° (range 0-20°) and the mean flexion was 132° (range 128-135°). They all had full pronation and supination and had good stability; however, none of them had residual pain. Conclusion Treatment of capitellar fractures by Herbert screw leads to minimal articular damage and rigid fixation with solid union and excellent compression as well as early mobilization. Encountering a free capitellar fragment and nonunion should not discourage the use of internal fixation, as avascular necrosis is less likely to occur with good fixation and early mobilization.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1253    
    Printed18    
    Emailed0    
    PDF Downloaded133    
    Comments [Add]    

Recommend this journal