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.