Fixation of capitellar fractures with the Herbert screw

Five fractures of the capitellum were fixed with a Herbert screw. Three patients had a type 1 fracture and two patients had a type 2 fracture. In four patients the fragment was fixed by insertion of the screw from the lateral epicondyle towards the joint line, with good clinical and radiological results. In one patient the fragment was fixed from the joint line. The fragment underwent avascular necrosis with poor clinical result.