Osteochondritis Dissecans of the Elbow Managed by Herbert Screw Fixation

Seven patients (eight elbows) with osteochondritis dissecans were treated with cancellous bone grafts and internal fixation of the fragment using a Herbert screw. Average follow-up was 32 months. All patients were pain-free and returned to previous sporting activities. The postoperative range of motion of the elbow increased by an average of 18 degrees. Radiographs showed complete reossification of the capitular cyst and normally contoured joint surface.