BACKGROUND: Recent work has established that apparently isolated @entity174 of the capitellum are often more complex and involve the lateral epicondyle, @entity10460 , and posterior aspect of the distal part of the humerus. We assessed the experience with operative stabilization of @entity174 of the capitellum and @entity10460 at one level-I @entity130 center over a twenty-eight-year period. METHODS: Thirty classifiable partial articular @entity174 involving the capitellum and @entity10460 were included in the study. Twenty-seven @entity1 were followed for a minimum of twelve months, and fourteen @entity1 returned for long-term follow-up at a median of seventeen years. The early and long-term results were evaluated according to the Broberg and Morrey Functional Rating Index. The long-term results were also evaluated according to the Mayo Elbow Performance Index (MEPI), the American Shoulder and Elbow Surgeons (ASES) score, and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. RESULTS: Eighteen @entity1 (67%) had one or more subsequent surgical procedures, and eight of these @entity1 had the procedure to address surgical complications. Five of the eight @entity1 with complications and ten additional @entity1 underwent routine removal of implants; these fifteen @entity1 included twelve of the fourteen @entity1 in the long-term cohort. In addition to the @entity174 of the distal part of the humerus, four @entity1 had a dislocation of the elbow; three, a @entity174 of the olecranon or the proximal part of the ulna; and two, a @entity174 of the radial head. The median arc of flexion improved from 106 degrees at the time of early follow-up to 119 degrees at the time of long-term follow-up (p < 0.05). In the group of fourteen @entity1 with long-term follow-up, the median Broberg and Morrey score was 93 points at the time of early follow-up and 95 points at the time of late follow-up. The functional results were worse for @entity1 with a Type-3 @entity174 , as classified with the system of Dubberley et al., than they were for those with a Type-1 @entity174 . The fourteen @entity1 with long-term follow-up had a median MEPI of 98 points, a median ASES score of 88 points, and a median DASH score of 8 points; nine of the fourteen @entity1 had radiographic signs of @entity4040 . CONCLUSIONS: The vast majority of what appear to be capitellar @entity174 are actually complex @entity174 of the articular surface involving both the capitellum and the @entity10460 . More complex @entity174 have worse functional results; however, the functional results of operative treatment seem to be durable over time.

Fractures of the capitellum and XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity10460 :: ('MESH:C566022', 'Disease') :: ['trochlea'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity4040 :: ('MESH:C537208', 'Disease') :: ['arthrosis'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity10460 :: (MESH:C566022,Disease) :: ['trochlea']
