Capitellum fractures are rare. Surgical treatment has evolved towards internal fixation with cannulated or buried screws, allowing anatomic reduction and early mobilization.We conducted a retrospective single-center study over a 6-year period, on the surgical treatment of capitellum fractures.Our series includes 22 patients with a mean age of 42.77 years. The sex ratio is 0.57. The right elbow was the most affected (60% of cases). According to the Brayn and Morrey classification, type I was the most common (45%)Osteosynthesis with 3.5 cortical screws was performed in 76% of cases. The rest of the fractures were fixed by direct screwing with scarf screws.Comparison of osteosynthesis techniques did not show any significant difference in terms of pain and mobility, although Scarf screws presented slightly more frequent complications.The means of osteosynthesis do not influence the functional, clinical and anatomical results