DOI: 10.36347/sjmcr.2023.v11i05.060

Pages: 987-993

Capitulum fractures are rare. Their initial management must be early and optimal because of the risks generated on the elbow: stiffness, instability, pain and osteoarthritis. Many treatments have been proposed. Our study describes screwing by Herbert screw performed in four patients identified between March 2021 and December 2021. They were included according to the criteria for elbow trauma with external exquisite pain with a line of frontal radiological fracture of the external humeral condyle carrying the outer cheek of the trochlea. The diagnosis was oriented by clinical examination and confirmed by AP and lateral X-rays supplemented by CT scan. The lesions were classified according to Bryan and Morrey. The patients underwent emergency surgery using the posterolateral Kocher approach, open reduction and then stabilization with buried Herbert screws. The mean follow-up was 16 months. The mean total functional recovery was 5.3 months. The functional evaluation was considered excellent according to the MEPI score (Mayo Elbow Performance Index) for the three patients. There was no dismantling of equipment. Mean bone consolidation was 2.9 months.