Department of Orthopedics, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Children's Hospital of Chongqing Medical University, No. 136 of Zhong Shan Er Lu, Chongqing, 400014, China.
J Orthop Surg Res. 2021 Jun 19;16(1):394. doi: 10.1186/s13018-021-02536-w.
The aim of this study is to analyze the efficacy of open reduction and Herbert screw fixation for coronal fractures of the capitellum via the anterior approach in adolescents.
We retrospectively analyzed the clinical and imaging data of 15 adolescents with capitellar fractures who were admitted to our hospital from May 2014 to May 2019. The fracture was reduced through the cubital crease incision via the anterior approach and was internally fixated with Herbert screws. A follow-up was conducted after the operation to examine fracture healing and elbow function. The postoperative functional recovery of patients was evaluated with the Mayo Elbow Performance index (MEPI) and the Broberg-Morrey rating system.
Patients underwent surgery 3.7 days after injury on average. Intraoperative fracture reduction was satisfactory. No vascular injury or nerve injury occurred. Bony union occurred in an average of 6 weeks after the operation. All adolescents completed a 12- to 36-month follow-up. At the last follow-up, the Mayo Elbow Performance index was considered excellent in 12 patients and good in three patients. The Broberg-Morrey score was considered excellent in 12 patients, good in two patients, and fair in one patient.
Open reduction with Herbert screw fixation via the anterior approach is a feasible surgical method for the treatment of coronal fractures of the capitellum in adolescents.
Therapeutic, retrospective study-Level IV.
本研究旨在分析经肘前入路切开复位 Herbert 螺钉内固定治疗青少年肱骨髁冠状突骨折的疗效。
回顾性分析 2014 年 5 月至 2019 年 5 月我院收治的 15 例肱骨髁冠状突骨折青少年患者的临床和影像学资料。骨折经肘前入路经肘前切口复位，采用 Herbert 螺钉内固定。术后随访观察骨折愈合及肘关节功能。采用 Mayo 肘关节功能评分（MEPI）和 Broberg-Morrey 评分系统评估患者术后功能恢复情况。
患者平均受伤后 3.7 天接受手术，术中骨折复位满意，无血管神经损伤。术后平均 6 周骨折愈合。所有患者均完成 12~36 个月随访。末次随访时，12 例患者的 Mayo 肘关节功能评分被认为是优秀的，3 例患者是良好的。12 例患者的 Broberg-Morrey 评分被认为是优秀的，2 例患者是良好的，1 例患者是一般的。
经肘前入路切开复位 Herbert 螺钉内固定治疗青少年肱骨髁冠状突骨折是一种可行的手术方法。
治疗性回顾性研究，IV 级。
