Revision capitellum fracture fixation: A surgical challenge case report

Capitellum fractures are rare, accounting for 1% of all elbow fractures and pose a unique challenge due to their intra-articular nature and susceptibility to displacement. This case report details a revision surgery for a 31-year-old male who sustained a displaced intra-articular capitellum fracture following a fall. Initial treatment with open reduction and internal fixation (ORIF) using two Herbert Headless Compression Screws failed due to inadequate reduction and early mobilization, resulting in non-union and persistent pain. A revision surgery was performed using three herbert screws, achieving successful reduction and fixation. Postoperative rehabilitation led to a significant improvement in elbow range of motion and function over 11 years of follow-up. This report emphasizes the importance of careful surgical planning, preservation of vascularity, appropriate fixation techniques and adherence to rehabilitation protocols to prevent complications and ensure favorable outcomes in revision capitellum fracture surgeries.