Herbert screw fixation for repairing capitellum fracture through anterior elbow approach:evaluation for fracture reduction and healing
Zhang Yi
Tao Sheng-xiang
Zhang Yong
Hu Feng
Zhang Guo-hua
Abstract：BACKGROUND:The treatment of capitel um fracture has obtained primary consensus in the clinic, that is, open reduction and fixation for a displaced fracture. However, the selection of operation approach and the type of internal fixation are stil controversial.
<br> OBJECTIVE:To explore the effects of Herbert screw in the treatment of capitel um fracture through anterior elbow approach.
<br> METHODS:A total of 12 patients with displaced fractures of the humeral capitel um were chosen from August 2008 to May 2012 in the Department of Orthopedics, Puren Hospital, Wuhan University of Science and Technology. They received Herbert screw fixation through anterior elbow approach. According to Bryan and Morrey classification, there were eight cases of type I fractures, three cases of type II fractures, and one case of type III fracture. The outcomes of fracture healing, elbow functions and complications were observed after fixation.
<br> RESULTS AND CONCLUSION:In the two-year fol ow up, fractures in al patients were healed. There were excel ent in ten patients and good in two patients according the Mayo elbow performance index. The elbow function of most patients recovered to normal. There was no evidence of the post-operative complications. These findings indicate that treatment of displaced capitel um fracture using Herbert screws through anterior elbow approach obtained satisfactory outcomes. The recovery of elbow function was good after fixation, and presented apparent advantages.
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Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 1435-1440 )