Capitellar fractures-is open reduction and internal fixation necessary?

نویسندگان

  • Kenneth Cutbush
  • Steven Andrews
  • Nashat Siddiqui
  • Lochlin M Brown
  • Mark Ross
چکیده

OBJECTIVE The purpose of this retrospective study was to evaluate the medium-term to longer-term results of type 1 displaced capitellar fractures treated with closed reduction. DESIGN Retrospective case series. PATIENTS Eight consecutive cases (7 adults; 1 child) with type 1 capitellar fractures. INTERVENTION Closed reduction of type 1 capitellar fractures and 4 weeks of postreduction immobilization. OUTCOME MEASURES Complications (including radiographic), Disabilities of the Arm, Shoulder, and Hand Score, and active elbow range of motion. RESULTS Average follow-up was 41.6 months (range, 18-77 months). All 8 fractures were united. The patients obtained near full return of the range of motion when compared with the uninjured contralateral side. Mean average Disabilities of the Arm, Shoulder, and Hand Score scores were 4.36 (SD, 2.68; Range, 0-9). No complications were observed. CONCLUSIONS This study demonstrated that type 1 capitellar fractures can be treated successfully with closed reduction and cast immobilization. LEVEL OF EVIDENCE Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

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عنوان ژورنال:
  • Journal of orthopaedic trauma

دوره 29 1  شماره 

صفحات  -

تاریخ انتشار 2015