Anatomical reduction and internal fixation of inappropriately treated transcondylar humerus with capitellum fracture

Abstract

Transcondylar humerus with capitellum fracture represent <1% of all elbow fractures. Most of them occur after a fall onto an outstretched hand with the elbow in varying degrees of flexion. Since the capitellum fragment does not have a soft-tissue attachment, it can displace and interfere with joint motion. Successful management of distal humerus fractures depend on correct reduction of the fracture, reconstruction of the articular surface if needed, stability and rigidity of the fixation, and appropriate rehabilitation. We present you a case of transcondylar humerus with capitellum fracture treated with improper reduction and k-wire fixation underwent revision surgery with k-wire removal, anatomical reduction and cannulated cancellous screw and k-wire fixation for medial condyle, two k-wire fixation for lateral condyle and two Herbert screws fixation for capitellum fracture.