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CASE REPORT
Corrective osteotomy through fracture site and internal fixation with headless screws for type I (Hahn-Steinthal) capitellar malunion
  1. Santosh Somayya Jeevannavar,
  2. Keshav Someshwar Shenoy,
  3. Ravi M Daddimani
  1. Department of Orthopaedics, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India
  1. Correspondence to Dr Santosh Somayya Jeevannavar, drssj99{at}gmail.com

Summary

A 20-year-old woman presented 6 months after an initial injury to her left elbow with pain and restricted movements. She was diagnosed with a type I malunited (Hahn-Steinthal) type of capitellum fracture through radiographic studies. Classically, the treatment has been excision of the fragment, which carries a risk of valgus instability of the elbow and late osteoarthrosis. We report a case of malunited type I capitellum fracture, for which corrective osteotomy through fracture site, open reduction and internal fixation was done 6 months following missed trauma. At 24 months follow-up the capitellum fracture had united and the patient has a stable elbow and excellent range of motion. Our case demonstrates that for type I malunited capitellum fractures corrective osteotomy through fracture site and internal fixation rather than excision of the fragment in young can result in successful union and stable elbow.

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