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VOL. 4, ISSUE 2 (2022)
The study of early results of internal fixation of capitellar fractures by anterolateral approach
Authors
Dr Paragjyoti Gogoi, Dr Aditi Das, Dr Vikash Agarwala
Abstract
Fracture of the Capitellum is a relatively uncommon injury around elbow. Being an intra-articular fracture it requires accurate reduction and stable internal fixation to allow early movements and to expect a good result. Most of the time the fracture occurs in a coronal plane, which warrants antero-posterior Screw fixation for better reduction and desired compression. However by the conventional laterally based approaches it is difficult to obtain the proper reduction as well as fixation. Recently anterior approaches have gained wider acceptance because of direct access to the fracture and the ability to pass screws perpendicular to the fracture plane. They utilise a plane between the Biceps and the Brachioradialis superficially and then between Brachialis and the Brachioradialis in deeper plane. We are presenting a case series of 14 cases of Capitellar fractures, which were fixed by Herbert Screws via anterolateral approach. They were followed up for a minimum period of six months and maximum up to three years and assessed in terms of fracture union, elbow range of movements, any complication and Mayo Elbow Performance Score. Out of 14 cases the outcome of 12 cases were excellent and two were good. We found that the Anteriolateral approach for fixation of Capitellar fracture of Distal Humerus is a useful approach. Proper identification of the plane and direct visualisation of the nerves is mandatory to avoid any untoward injuries. This approach provides passage of screws perpendicular to the fracture plane and good compression at fracture site.
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Pages:77-82
How to cite this article:
Dr Paragjyoti Gogoi, Dr Aditi Das, Dr Vikash Agarwala "The study of early results of internal fixation of capitellar fractures by anterolateral approach". International Journal of Orthopaedics Research, Vol 4, Issue 2, 2022, Pages 77-82
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