Fixation of capitellar fractures with the Herbert screw

Abstract

Five fractures of the capitellum were fixed with a Herbert screw. Three patients had a type 1 fracture and two patients had a type 2 fracture. In four patients the fragment was fixed by insertion of the screw from the lateral epicondyle towards the joint line, with good clinical and radiological results. In one patient the fragment was fixed from the joint line. The fragment underwent avascular necrosis with poor clinical result.

Fractures of capitellum: a review of 14 cases treated by open reduction and internal fixation with Herbert screws

“…Herbert screws allow rigid fixation at the fracture site, provide fracture site compression through variable thread pitch design and need not be removed later. These screws can be used both in anteroposterior and posteroanterior directions [3,7,[18][19][20]. In all of our patients Herbert screws were used from posterior to anterior.…”

Functional Outcome of a Coronal Shear Fracture of the Capitellum Managed by Herbert Screw Fixation Using the Anterolateral Surgical Approach

“…Regarding the fixation of the capitellar fracture, various implants, such as mini-fragment screws, Herbert screws, and bioabsorbable rods, have been used. Herbert screw fixation provides compression at the fracture site, stable fixation, and no intra-articular prominence of the implant [2,[12][13][14][15][16][17][18][19][20]. There is no accepted guideline regarding the method of internal fixation for these fractures [2].…”

Management of capitellum fractures by open reduction and internal fixation using Herbert screws

“…Many treatments and management methods have been advocated and include closed reduction and immobilization, [14] fracture fragment excision, [15] open reduction with or without internal fixation [16][17][18][19][20][21][22] using Kirschner wires (K-wires), cannulated screws or Herbert screws, [23][24][25][26] and prosthetic replacement. [27] Herbert screw provides some definite advantages over other methods of internal fixation.…”