Mahirogullari M, Kiral A, Solakoglu C, Pehlivan O, Akmaz I, Rodop O
Department of Orthopedics and Traumatology, Gulhane Military Medical Faculty Hospital, Istanbul, Turkey.
J Hand Surg Br. 2006 Jun;31(3):320-5. doi: 10.1016/j.jhsb.2006.02.002. Epub 2006 Apr 17.
Isolated fractures of the capitellum are rare injuries and account for 1% of all elbow injuries. The purpose of this study is to evaluate the clinical outcomes of 11 Type I capitellum fractures treated by open reduction and internal fixation using at least two standard Herbert screws between 1998 and 2003. The average age of the patients was 27.5 years. The mean follow-up time was 23.4 months. The final postoperative assessment was made at the 12th month. The results were evaluated according to the Mayo Elbow Performance Index. We obtained excellent result in eight patients and good result in three patients. We recommend open reduction and fixation with Herbert screws inserted from the posterior surface of the lateral epicondyle and early mobilization in Type I fractures of the capitellum.
肱骨小头孤立性骨折是罕见损伤，占所有肘部损伤的1%。本研究的目的是评估1998年至2003年间11例采用切开复位并用至少两枚标准Herbert螺钉内固定治疗的I型肱骨小头骨折的临床疗效。患者的平均年龄为27.5岁。平均随访时间为23.4个月。术后最终评估在第12个月进行。根据Mayo肘关节功能指数对结果进行评估。我们获得了8例优和3例良的结果。我们建议对I型肱骨小头骨折采用从外侧髁后表面插入Herbert螺钉进行切开复位固定，并早期进行活动。
