FUNCTIONAL RESULTS IN THE SURGICAL TREATMENT OF THE CAPITELLUM FRACTURES – RESECTION VS. OSTEOSYNTHESIS
Abstract:
In order to evaluate the functional results, 32 cases with surgical treatment were pursued,
namely 19 in which the open reduction and Herbert screws fixation was attempted and 13 in which the
excision of fragments was conducted. All the cases in which the excision was used showed instability,
while instability was identified in only 1 case of osteosynthesis. The cases in which excision was used
showed a clearly inferior evolution as compared to those in which osteosynthesis was used. The
deterioration of the MAYO score for the cases in which the excision was used is due mainly to residual
instability.
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