Headless compression screw fixation for type 2 and 3 articular surface fractures of the distal humerus using transolecranon approach


humerus ; articular surface fracture of the distal humerus ; headless compression screw ; transolecranon approach.

Published online: Dec 31 2019

Sang Ki Lee , Sang Wook Jeung , Young Sub Chun , Won Sik Choy

From Eulji University College of Medicine, Daejeon, Korea


The objectives of this study were to determine the clinical and radiologic outcome after headless compression screw fixation through the transolecranon approach in patients who had sustained Dubberley type 2 and 3 articular surface fractures of the distal humerus. Twenty-seven patients were included in the study. There were 23 Dubberley type 2 and 4 type 3 fractures. All patients were available for a minimum of 24 months of follow-up. The evaluation was performed using the VAS, the DASH score, and the MEPS. The outcome was excellent in 18 patients, and 9 patients had a good result by the MEPS. The average range of flexion was 132° (range 110°–140°). The mean extensor lag was 7.9° (range 0°–30°). The main advantages of the transolecranon approach are direct fracture visualization, ease of joint inspection, help in reduction, and ease of correct perpendicular fracture fixation.