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Operative Versorgung von Capitulum-humeri-Typ-I-Frakturen über den ventralen Zugang nach Henry
Authors:Dr S O Dietz  L P Müller  J Korner  P M Rommens
Institution:1. Klinik und Poliklinik für Unfallchirurgie, Johannes-Gutenberg-Universit?t, Mainz
2. Klinik und Poliklinik für Unfallchirurgie, Johannes-Gutenberg-Universit?t, Langenbeckstra?e 1, 55131, Mainz
Abstract:Capitellar fractures are rare. Despite adequate surgical treatment, patients suffer frequently from limited range of motion, osteonecrosis, and neurological deficits. The purpose of this retrospective study was to evaluate short- and medium-term surgical results in seven patients who had type I capitellar fractures according to Bryan and Morrey. All patients were treated via an anterior approach, according to Henry, and open reduction and internal fixation with two screws. Seven patients were examined clinically, neurologically, and radiologically after 10–65 months. The fracture healed in all patients. None of the patients had a neurological deficit. According to the Morrey Score, five of seven patients had an excellent or good functional result. Open reduction and internal fixation with two screws via the Henry approach is a suitable option for surgical treatment for type I capitellar fractures.
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