Background: Capitellar fractures are rare intra-articular injuries of the distal humerus, accounting for nearly 1% of elbow fractures (1). Timely fixation is recommended to restore joint congruity and allow early mo￾bilization (2). In many settings, especially in developing countries, pre￾sentation may be delayed due to missed diagnosis or late referral (3). The management of such late cases remains challenging. Introduction: This study evaluates the functional and radiological re￾sults of late-presenting capitellar fractures treated surgically by open reduction and Herbert screw fixation. Results: Among 35 adult patients, all fractures united by 10-14 weeks. Functional outcomes by Mayo Elbow Performance Score (MEPS) were Excellent in 17 (49%), Good in 12 (34%), and Fair in 6 (17%). No patients had a poor outcome. Complications occurred in 6 cases (17%), including 5 with postoperative stiffness and 1 with degenerative arthritis. Conclusion: Anatomic reduction with Herbert screw fixation in late-pre￾senting capitellar fractures provides reliable union and favorable func￾tional results, although stiffness remains a common complication.