Keywords : Capitellar Fracture
Open Reduction and Internal Fixation of Capitellar Fracture through Anterolateral Approach with Headless Double Threaded Compression Screws
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 3, Pages 4097-4105
Background: Injuries to the humeral capitellum are usually a result of axial
loading of the capitellum by forces transmitted through the radial head, the lateral
trochlear ridge and the lateral half of the trochlea due to falling on an outstretched
hand or flexed elbow. The aim of this study to evaluate the results of patients
suffering from capitellar fracture treated by open reduction and internal fixation
through anterolateral approach with headless double threaded compression screws.
Patients and Methods: This study included 12 capitellar fractures; the radiological
x-ray was done for planning the fixation technique. All fractures were treated with
headless double threaded compression screws using anterolateral approach, over
the period from March 2020 to February 2021 at Zagazig university hospital, with
the mean follow up period 8 months ± 1.95 ranged from six to 11 months. Results:
The present study showed the pain score was 45 points. At end of the follow up
period 9 patient had no pain (75 %) and 3 patient had mild pain (25 %). Eight
patients had active flexion above 100º (66.7 %) and 4 patients had active flexion
from 50º to 100º (33.3 %). Eight cases were excellent score with (66.7 %), three
cases good score (25%), and only one was satisfactory score with (8.3%).
Conclusion: Headless double threaded compression screws has a good clinical
result in Capitellar fracture because these screws have the advantage of excellent
compression at the small fracture fragments, stable fixation, and non-prominence
of the implants intraarticular.