Evaluation of Functional Outcome after Open Reduction and Internal Fixation of Capitellar Fracture with K. Wires
Iraqi Postgraduate Medical Journal,
2012, Volume 11, Issue 4, Pages 524-528
Isolated capitellar fractures are uncommon. Authors continue to differ about the preferred method of treatments and it's results on the post operative outcome.
Of This study: Is to evaluate the clinical and functional out come of operatively treated capitellar fracture with K.Wire , and furthermore to define the impact of fracture type on the out come.
PATIENTS AND METHOD:
A retrospective study carried out on 15 patients Sustaind closed capitellar fracture , 11 females , 4 males. The main age (16 – 58 years). the Operative treatment performed at a mean of 10 days, by open reduction through relatively limited lateral approach and internal fixation with k. wires. The evaluation of the functional outcome was by clinical and radiographic examination . The range of motion (ROM) by using of Mayo Elbow Performance Index (MEPI), and The American Shoulder and Elbow Surgeons (ASES) scales , and self assessment questionnaires form.
Eight patients type I , one type II , four type III , two type IV ,and three patients had ipsilateral radial head fracture,. two in association with type III , and one with type IV. All fractures healed , with no significant clinical instability or weakness. The mean ulno-humeral motion (UHM) was (95o-132o) . All patients had full forearm rotation, average flexion contracture was 15o (range (8o-35o). (P=0.05). The mean (MEPI) was (90±10) points, with seven excellent results and six good , and the mean (ASES) was 36±3 (30 to 40 points) in seven patients. Ipsilateral radial head fracture had no significant effect on the functional outcome.
Good to excellent outcome with functional ulnohumeral motion (UHM) can be achieved following open reduction and minimal fixation with k. wires in the treatment of capitellar fractures.
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