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Reconstruction of radial capitellar fractures using fine-threaded implants (FFS)
Steffen Heck1, Christian Zilleken, Dietmar Pennig
1Department of Orthopedics, Traumatology, Hand and Reconstructive Surgery, St Vinzenz Hospital, Merheimerstrasse 221-223, D-50733 Cologne, Germany.
Injury
|May 28, 2011
Summary
This study shows fine-threaded Kirschner wires (FFS) effectively treat rare capitellum humeri fractures. Patients achieved good elbow range of motion and grip strength, indicating FFS is a viable treatment option.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Elbow Biomechanics
Background:
- Capitellum humeri fractures are uncommon and complex elbow injuries.
- Existing treatment outcome data is limited, often using varied fixation methods.
Purpose of the Study:
- To evaluate the clinical outcomes of capitellum humeri fractures treated with fine-threaded Kirschner wires (FFS).
- To assess functional recovery using multiple validated scoring systems.
Main Methods:
- Retrospective analysis of 15 patients with capitellum humeri fractures treated with FFS.
- Classification using the modified Bryan and Morrey system.
- Outcome assessment included range of motion, grip strength, MEPI, ASES, DASH, and Broberg-Morrey scores.
Main Results:
- Good functional outcomes observed after a minimum 12-month follow-up.
- Mean elbow flexion/extension: 124°, pro/supination: 173°.
- High scores in MEPI (90), ASES (91.5), DASH (10.84), and Broberg-Morrey (90.8).
- Mean grip strength on the injured side was 217.9N.
Conclusions:
- Fine-threaded Kirschner wires (FFS) provide good clinical results for capitellum humeri fractures.
- FFS represents a reliable treatment option for this specific fracture type.
