Introduction: The outcome of operatively treated capitellar fractures has not been reported frequently. The purpose of the present study was to evaluate the clinical, radiographic, and functional outcomes following open reduction and internal fixation of capitellar fractures that were treated with a uniform surgical approach.   Materials and Methods: Between December 2014 and April 2016 three patients with right sided type IV capetullar fracture were treated by ORIF and internal fixation with Herbert screw . All three were male age 28 , 35 , 48 . A double arc sign in the lateral views of the X–rays of the elbow was seen in all the cases. Under tourniquet, using extended lateral approach, open reduction and internal fixation was done using Herbert screw , under vision from posterior to anterior direction from the posterior aspect of lateral condyle of humerus avoiding articular penetration. Results: All the fractures united uneventfully. At the end of one year follow–up, two cases had excellent elbow function,there were no signs of AVN or arthritis. The third case had good elbow ROM at 11 months without AVN. Conlusion: If capitellum fracture are treated with good operative technique and implant the results are good .