Therapeutic analysis of Herbert screw fixation for capitellar fractures via the anterior approach in adolescent patients
Abstract Objective The aim of this study is to analyze the efficacy of open reduction and Herbert screw fixation for coronal fractures of the capitellum via the anterior approach in adolescents. Methods We retrospectively analyzed the clinical and imaging data of 15 adolescents with capitellar fract...
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-021-02536-w |
| _version_ | 1811277616902045696 |
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| author | Lingpeng Ju Linjun Jiang Yuan Zhang Jun Wu Ming Li Xing Liu Xiangyang Qu |
| author_facet | Lingpeng Ju Linjun Jiang Yuan Zhang Jun Wu Ming Li Xing Liu Xiangyang Qu |
| author_sort | Lingpeng Ju |
| collection | DOAJ |
| description | Abstract Objective The aim of this study is to analyze the efficacy of open reduction and Herbert screw fixation for coronal fractures of the capitellum via the anterior approach in adolescents. Methods We retrospectively analyzed the clinical and imaging data of 15 adolescents with capitellar fractures who were admitted to our hospital from May 2014 to May 2019. The fracture was reduced through the cubital crease incision via the anterior approach and was internally fixated with Herbert screws. A follow-up was conducted after the operation to examine fracture healing and elbow function. The postoperative functional recovery of patients was evaluated with the Mayo Elbow Performance index (MEPI) and the Broberg-Morrey rating system. Results Patients underwent surgery 3.7 days after injury on average. Intraoperative fracture reduction was satisfactory. No vascular injury or nerve injury occurred. Bony union occurred in an average of 6 weeks after the operation. All adolescents completed a 12- to 36-month follow-up. At the last follow-up, the Mayo Elbow Performance index was considered excellent in 12 patients and good in three patients. The Broberg-Morrey score was considered excellent in 12 patients, good in two patients, and fair in one patient. Conclusion Open reduction with Herbert screw fixation via the anterior approach is a feasible surgical method for the treatment of coronal fractures of the capitellum in adolescents. Levels of evidence Therapeutic, retrospective study-Level IV |
| first_indexed | 2024-04-13T00:19:57Z |
| format | Article |
| id | doaj.art-2feef37362b041f39faa8fb699327a5e |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T00:19:57Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-2feef37362b041f39faa8fb699327a5e2022-12-22T03:10:49ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-06-011611710.1186/s13018-021-02536-wTherapeutic analysis of Herbert screw fixation for capitellar fractures via the anterior approach in adolescent patientsLingpeng Ju0Linjun Jiang1Yuan Zhang2Jun Wu3Ming Li4Xing Liu5Xiangyang Qu6Department of Orthopedics, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Children’s Hospital of Chongqing Medical UniversityDepartment of Orthopedics, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Children’s Hospital of Chongqing Medical UniversityDepartment of Orthopedics, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Children’s Hospital of Chongqing Medical UniversityDepartment of Orthopedics, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Children’s Hospital of Chongqing Medical UniversityDepartment of Orthopedics, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Children’s Hospital of Chongqing Medical UniversityDepartment of Orthopedics, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Children’s Hospital of Chongqing Medical UniversityDepartment of Orthopedics, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Children’s Hospital of Chongqing Medical UniversityAbstract Objective The aim of this study is to analyze the efficacy of open reduction and Herbert screw fixation for coronal fractures of the capitellum via the anterior approach in adolescents. Methods We retrospectively analyzed the clinical and imaging data of 15 adolescents with capitellar fractures who were admitted to our hospital from May 2014 to May 2019. The fracture was reduced through the cubital crease incision via the anterior approach and was internally fixated with Herbert screws. A follow-up was conducted after the operation to examine fracture healing and elbow function. The postoperative functional recovery of patients was evaluated with the Mayo Elbow Performance index (MEPI) and the Broberg-Morrey rating system. Results Patients underwent surgery 3.7 days after injury on average. Intraoperative fracture reduction was satisfactory. No vascular injury or nerve injury occurred. Bony union occurred in an average of 6 weeks after the operation. All adolescents completed a 12- to 36-month follow-up. At the last follow-up, the Mayo Elbow Performance index was considered excellent in 12 patients and good in three patients. The Broberg-Morrey score was considered excellent in 12 patients, good in two patients, and fair in one patient. Conclusion Open reduction with Herbert screw fixation via the anterior approach is a feasible surgical method for the treatment of coronal fractures of the capitellum in adolescents. Levels of evidence Therapeutic, retrospective study-Level IVhttps://doi.org/10.1186/s13018-021-02536-wCapitellar fracturesAdolescentsHerbert screwAnterior approachTreatment |
| spellingShingle | Lingpeng Ju Linjun Jiang Yuan Zhang Jun Wu Ming Li Xing Liu Xiangyang Qu Therapeutic analysis of Herbert screw fixation for capitellar fractures via the anterior approach in adolescent patients Journal of Orthopaedic Surgery and Research Capitellar fractures Adolescents Herbert screw Anterior approach Treatment |
| title | Therapeutic analysis of Herbert screw fixation for capitellar fractures via the anterior approach in adolescent patients |
| title_full | Therapeutic analysis of Herbert screw fixation for capitellar fractures via the anterior approach in adolescent patients |
| title_fullStr | Therapeutic analysis of Herbert screw fixation for capitellar fractures via the anterior approach in adolescent patients |
| title_full_unstemmed | Therapeutic analysis of Herbert screw fixation for capitellar fractures via the anterior approach in adolescent patients |
| title_short | Therapeutic analysis of Herbert screw fixation for capitellar fractures via the anterior approach in adolescent patients |
| title_sort | therapeutic analysis of herbert screw fixation for capitellar fractures via the anterior approach in adolescent patients |
| topic | Capitellar fractures Adolescents Herbert screw Anterior approach Treatment |
| url | https://doi.org/10.1186/s13018-021-02536-w |
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