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Journal of Hand Surgery (British and European Volume)
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Articles

Treatment of Fractures of the Humeral Capitellum Using Herbert Screws

M. MAHIROGULLARI
A. KIRAL
C. SOLAKOGLU
O. PEHLIVAN
I. AKMAZ
O. RODOP

From the Department of Orthopedics and Traumatology, Gulhane Military Medical Faculty Hospital, Istanbul, Turkey

Correspondence: Corresponding author. Prof Dr. Ahmet Kiral, GATA Haydarpasa Egitim Hastanesi, Ortopedi ve Travmatoloji Servisi, Uskudar, 34668, Istanbul, Turkey. Tel.: +90 0 216 542 25 95; fax: +90 0 216 348 78 80. E-mail: mahirogullari{at}yahoo.com

Isolated fractures of the capitellum are rare injuries and account for 1% of all elbow injuries. The purpose of this study is to evaluate the clinical outcomes of 11 Type I capitellum fractures treated by open reduction and internal fixation using at least two standard Herbert screws between 1998 and 2003. The average age of the patients was 27.5 years. The mean follow-up time was 23.4 months. The final postoperative assessment was made at the 12th month. The results were evaluated according to the Mayo Elbow Performance Index. We obtained excellent result in eight patients and good result in three patients. We recommend open reduction and fixation with Herbert screws inserted from the posterior surface of the lateral epicondyle and early mobilization in Type I fractures of the capitellum.

Key Words: fracture • distal humerus • humeral capitellum • Herbert screw

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 3, 320-325 (2006)
DOI: 10.1016/J.JHSB.2006.02.002
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D. E. Ruchelsman, N. C. Tejwani, Y. W. Kwon, and K. A. Egol
Open Reduction and Internal Fixation of Capitellar Fractures with Headless Screws. Surgical Technique
J. Bone Joint Surg. Am., March 1, 2009; 91(Supplement_2_Part_1): 38 - 49.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
D. E. Ruchelsman, N. C. Tejwani, Y. W. Kwon, and K. A. Egol
Open Reduction and Internal Fixation of Capitellar Fractures with Headless Screws
J. Bone Joint Surg. Am., June 1, 2008; 90(6): 1321 - 1329.
[Abstract] [Full Text] [PDF]