Herbert screw fixation of a capitellum fracture. A case report and review.

Abstract

Fractures of the capitellum frequently result in significant osteochondral fragments that require internal fixation to restore the anatomic integrity of the elbow joint. Precise reduction is mandatory to maximize articular congruency and diminish the potential for arthrosis. Successful repair of a Type I capitellum fracture in a 54-year-old-woman was accomplished using the Herbert bone screw. This alternative treatment modality allowed for efficient and rigid fixation with less soft-tissue dissection and articular penetration than previously reported.