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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Comprehensive Evaluation of Capitellar Fractures: A Descriptive Panel Study on Orif with Herbert Screws

Aman Debbarma, Santanu Chaudhuri, Santosh Reang, M. Parameshwar Naik, Chakherang Debbarma and Aman Debbarma
Page: 663-666 | Received 10 Dec 2024, Published online: 13 Jan 2025

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https://doi.org/10.36478/makrjms.2025.1.663.666

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Abstract

Capitellar fractures are rare but complex injuries requiring precise management to restore joint function and prevent long‐term disability. Open reduction and internal fixation (ORIF) with Herbert screws offers a minimally invasive and biomechanically stable solution. This study aims to comprehensively evaluate the functional and radiological outcomes of capitellar fractures managed with ORIF using Herbert screws in a tertiary care setting. This descriptive panel study included 20 patients with capitellar fractures treated over a 3‐year period. All fractures were managed with open reduction and internal fixation using Herbert screws via an extensible lateral approach. Functional outcomes were assessed using the Mayo Elbow Performance Index (MEPI), and radiographic evaluations monitored fracture union. Among the 20 fractures, 9 were type I and 11 type IV based on Bryan and Morrey classification. The average union time was 12 weeks, with no cases of nonunion. Patients achieved a mean flexion of 130° and an extensor lag of 10°, ensuring functional motion. Complications included one case of osteoarthritis, while all other patients maintained good joint integrity. Overall, 12 patients showed excellent results, and 8 demonstrated good functional recovery. Open reduction and internal fixation (ORIF) with Herbert screws is an effective and reliable method for managing capitellar fractures. This technique ensures stable fixation, promotes timely bone union, and restores functional range of motion with minimal complications. High union rates and favourable outcomes, including excellent to good functional recovery in the majority of patients, highlight its utility. Complications such as osteoarthritis were rare, and no cases of avascular necrosis or heterotopic ossification were observed, reinforcing the procedure's safety and efficacy.

How to cite this article:

Aman Debbarma, Santanu Chaudhuri, Santosh Reang, M. Parameshwar Naik, Chakherang Debbarma and Aman Debbarma. Comprehensive Evaluation of Capitellar Fractures: A Descriptive Panel Study on Orif with Herbert Screws.
DOI: https://doi.org/10.36478/makrjms.2025.1.663.666
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.1.663.666