Herbert screw fixation for repairing capitellum fracture through anterior elbow approach: evaluation for fracture reduction and healing

doi:10.3969/j.issn.2095-4344.2015.09.021

Abstract

Abstract:

BACKGROUND: The treatment of capitellum 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 still controversial.
OBJECTIVE: To explore the effects of Herbert screw in the treatment of capitellum fracture through anterior elbow approach.
METHODS: A total of 12 patients with displaced fractures of the humeral capitellum 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.
RESULTS AND CONCLUSION: In the two-year follow up, fractures in all patients were healed. There were excellent 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 capitellum fracture using Herbert screws through anterior elbow approach obtained satisfactory outcomes. The recovery of elbow function was good after fixation, and presented apparent advantages.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: Humeral Fracture, Fracture Fixation, Bone Nails, Fracture Healing, Recovery of Function

CLC Number:

R318

Zhang Yi, Tao Sheng-xiang, Zhang Yong, Hu Feng, Zhang Guo-hua . Herbert screw fixation for repairing capitellum fracture through anterior elbow approach: evaluation for fracture reduction and healing[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(9): 1435-1440.

Figures/Tables 3

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