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SAS Journal of Surgery | Volume-6 | Issue-05
Hahn-Steinthal Fracture: About 3 Cases
El Alami Réda, Kadiri Mohammed, Driss Jeddi, Boufettal Mounef, Bassir Reda Allah, Kharmaz Mohammed, Lamrani Mly Omar, El Bardouni Ahmed, Mahfoud Mustapha, Berrada Mohamed Saleh
Published: May 12, 2020 | 138 207
DOI: 10.36347/sasjs.2020.v06i05.001
Pages: 215-219
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Abstract
Capitellum fractures are rare. Their initial management must be early and effective because of the risks generated on the elbow: rigidity, instability, arthritis. Many treatments have been proposed. The diagnosis is guided by clinical examination and confirmed on front, side and internal ¾ radiographs. The lesions are generally classified according to Bryan and Morrey. We report three cases of capitellum fractures. The patients underwent emergency surgery using Kocher posterolateral approach, open reduction and stabilization by Herbert screws. The average follow up period was one year. Total functional recovery was favorable. The functional evaluation was rated excellent according to the MEPI score (Mayo Elbow Performance Index) for the three patients. There was no dismantling of equipment. The average bone consolidation was 3 months.