- Training
- 18/10/2023
- USA
Closed Reduction of Isolated Capitellum Fractures
Description
The transcript outlines a medical presentation by Dr. Todd Alter from the Department of Orthopedics at Rutgers Robert Wood Johnson Medical School, focusing on techniques for closed reduction of displaced isolated capitellum fractures. The video starts with an introduction to the rarity of capitellum fractures, which constitute about 1% of elbow fractures, often resulting from low-energy falls. It describes the classification of capitellum fractures, delineating between different types based on severity and fracture patterns. Closed reduction is presented as the primary non-operative treatment option, along with surgical alternatives when necessary.
The protocol for closed reduction involves positioning the elbow initially in full extension and supination while applying traction and varus stress. The presentation emphasizes the advantages of this non-invasive method, including lower complication rates and good functional outcomes, although it also addresses some disadvantages, such as the risk of re-displacement.
A case study is introduced featuring a 56-year-old female patient with a capitellum fracture, detailing the preoperative evaluation, the closed reduction process, and subsequent rehabilitation. The presentation includes step-by-step instructions for performing closed reduction in the operating room, emphasizing the need for general anesthesia, appropriate positioning, and the use of imaging to confirm successful reduction.
After achieving reduction, the arm is immobilized in a splint and routine follow-ups are described to ensure continued proper healing. The video concludes with outcomes observed at eight weeks post-operation, indicating full recovery, with a well-maintained range of motion for the patient.
Part of: Surgical Techniques and Training Collection
"Closed Reduction of Isolated Capitellum Fractures" is included in the following Surgical Techniques and Training playlist: