title: Corrective osteotomy through fracture site and internal fixation with headless screws for type I (Hahn-Steinthal) capitellar malunion.
abstract: 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.
authors.affiliation: Department of Orthopaedics, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India. drssj99@gmail.com
authors.forename: Santosh Somayya
authors.initials: SS
authors.lastname: Jeevannavar
authors.forename: Keshav Someshwar
authors.initials: KS
authors.lastname: Shenoy
authors.forename: Ravi M
authors.initials: RM
authors.lastname: Daddimani
mesh_terms: D000328:Adult; D004551:Elbow Joint / Q000473:pathology*; D005260:Female; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D016268:Internal Fixators; D010027:Osteotomy; D055815:Young Adult