LI Yu’an,ZHANG Jingdong,YI Xianhong, et al. Minimal invasive treatment of coronal plane fracture of the capitellum humeri of teenagers with the help of C-arm X-ray machine[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2016, 46(12): 916-918.
Abstract：Objective: To evaluate the clinical outcome of teenagers’ coronal plane fracture of the capitellum humeri treated with minimal invasive treatment with the help of C-arm X-ray machine. Methods: Twenty-eight teenagers with coronal plane fracture of the capitellum humeri were collected from January 2003 to June 2013, among them 15 were male and 13 were female, age ranged from 8 to 14, average age was 10.3. All patients underwent open reduction and internal fixation using compressive hollow screws inserted in a posterior-to-anterior direction with the help of C-arm X-ray machine. Elbow pain, range of motion, stability and function were evaluated using the Mayo Elbow Performance Index after surgery. Results: The mean follow-up period was 24.2 months (ranged 7-36 months). The mean Mayo Elbow Performance Index score was 92.5 (range 80-100) and the scores were excellent in 20 cases and general in 8 cases. All patients achieved anatomic bone union and no patient developed avascular necrosis or heterotrophic ossification. Conclusion: Teenagers’ coronal plane fracture of the capitellum humeri treated with minimal invasive treatment with the help of C-arm X-ray machine have the advantages of minimal invasion, firm fixation, easy to operate and fewer complications, which can achieve excellent clinical outcome.
