Corrective osteotomy through fracture site and internal fixation with headless screws for type I (Hahn-Steinthal) capitellar malunion
| Autor: | Keshav S. Shenoy, Santosh S Jeevannavar, Ravi M Daddimani |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Humeral Fractures medicine.medical_treatment Elbow Osteotomy Article Young Adult Elbow Joint medicine Internal fixation Humans Malunion Reduction (orthopedic surgery) biology business.industry General Medicine biology.organism_classification medicine.disease Internal Fixators Surgery Valgus medicine.anatomical_structure Orthopedic surgery Female Range of motion business |
| Popis: | A 20-year-old woman presented 6 months after an initial injury to her left elbow with pain and restricted movements. She was diagnosed with a type I malunited (Hahn-Steinthal) type of capitellum fracture through radiographic studies. Classically, the treatment has been excision of the fragment, which carries a risk of valgus instability of the elbow and late osteoarthrosis. We report a case of malunited type I capitellum fracture, for which corrective osteotomy through fracture site, open reduction and internal fixation was done 6 months following missed trauma. At 24 months follow-up the capitellum fracture had united and the patient has a stable elbow and excellent range of motion. Our case demonstrates that for type I malunited capitellum fractures corrective osteotomy through fracture site and internal fixation rather than excision of the fragment in young can result in successful union and stable elbow. |
| Databáze: | OpenAIRE |
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