A case of isolated capitellum fracture fixed with headless screws
Journal: University Journal of Surgery and Surgical Specialities (Vol.5, No. 4)Publication Date: 2019-05-30
Authors : RASHIPKHAN K KASIM;
Page : 30-33
Keywords : Hahn-Steinthal or Type 1 fracture; Herbert screws; Mayo Elbow Performance Index; good interfragmentary compression.;
Abstract
Aim The purpose of the study was to evaluate the clinical, radiographic, and functional outcome following open reduction and internal fixation of type-1 capitellum fracture with Herbert screw. Material and Methods A case of 12-year-old girl with a displaced fracture of the capitellum of the right elbow, a typical Hahn-Steinthal or Type 1 fracture was treated with open reduction and internal fixation through kochers approach using Herbert screws inserted anteroposteriorly. Patient had no associated injuries or neurovascular compromise. AP and lateral views were taken. CT scan helps to find any associated bony injuries. Elbow pain, range of motion, stability, and function were evaluated using the Mayo Elbow Performance Index. Results The follow -up period was 1 year. At the fourth month of follow-up, the fracture was considered completely healed and patient achieved full range of motion. No evidence of avascular necrosis, heterotrophic ossification, physeal arrest or angular deformity seen. final follow up X ray show anatomic bone union. The Mayo Elbow Performance Index score was 100, indicating excellent outcome Conclusion A displaced Hahn- Steinthal type 1 capitellum fracture must be anatomically reduced to restore articular congruity and to minimize potential disablement. We conclude that herbert screw fixation is a reliablemethod of treatment because it enables a good interfragmentary compression, earlier mobilization, faster functional elbow recovery .Headless screws provide more fixation stability than cancellous lag screws do.
Other Latest Articles
- Extramedullary Plasmacytoma of the Duodenum- A rare case report
- ADULT PRESENTATION OF CONGENITAL DIAPHRAGMATIC HERNIA - A RARE CASE REPORT
- Role of Imaging and Intervention Radiology in the management of a case of reccurent Juvenile nasopharyngeal angiofibroma (JNA)
- A RARE CASE OF MESENTRIC ISCHEMIA DUE TO PROTEIN C PROTEIN S DEFICIENCY - A CASE REPORT
- HEREDITARY TYROSINEMIA A CASE REPORT
Last modified: 2019-05-30 19:26:12