Vet Comp Orthop Traumatol 2007; 20(04): 285-290
DOI: 10.1160/VCOT-07-01-0002
Original Research
Schattauer GmbH

Fixation of humeral intercondylar fractures using a lateral plate in 14 dogs supported by finite element analysis of repair

W. T. Mc Cartney
1   Marie Louise Veterinary Hospital, Baldoyle, Dublin, Republic of Ireland
2   Medical Device and Orthopaedic Research Centre, School of Mechanical and Manufacturing Engineering, Dublin City University, Glasnevin, Dublin, Republic of Ireland
,
D. P. Comiskey
2   Medical Device and Orthopaedic Research Centre, School of Mechanical and Manufacturing Engineering, Dublin City University, Glasnevin, Dublin, Republic of Ireland
,
B. Mac Donald
2   Medical Device and Orthopaedic Research Centre, School of Mechanical and Manufacturing Engineering, Dublin City University, Glasnevin, Dublin, Republic of Ireland
,
C. B. Garvan
3   Dublin Institute of Technology, Dublin, Republic of Ireland
› Author Affiliations
Further Information

Publication History

Received 02 January 2007

Accepted 09 March 2007

Publication Date:
18 December 2017 (online)

Summary

Fourteen Spaniels that presented with an intercondylar fracture of the distal humerus were managed using a lateral plate and an additional pin in twelve cases. Fixation of the fracture was achieved using a plate applied laterally which incorporated the transcondylar lag screw in the most distal hole. Of the 14 cases, two had poor results, one of which was a bilateral case, whilst the remaining 12 cases had good or very good results with only occasional stiffness or lameness. Finite element (FE) modelling of a distal humerus was generated, and loading of fracture repairs using a lateral plate and caudal plate was completed in a comparative study to determine which fixation method resisted micro-motion most effectively. Finite element analysis revealed that the lateral plate fixation provided significantly more resistance to micro movement at the fracture site that the caudal plate fixation, with 40% more micro-motion in the latter.

 
  • References

  • 1 Denny HR. Condylar fractures of the humerus in the dog: a review of133 cases. J Small Anim Pract 1983; 24: 185-197.
  • 2 Bardet JF, Hohn RB, Rudy RL. Fractures of the humerus in dogs and cats. A retrospective study of 130 cases. Vet Surg 1983; 12: 437-442.
  • 3 Anderson TJ, Carmichael S, Miller A. Intercondylar humeral fracture in the dog: a review of 20 cases. J Small Anim Pract 1990; 31: 437-442.
  • 4 Sturgeon C, Wilson AM, McGuigan P. et al. Triceps tenotomy and double plate stabilization of Y-T fracture of humeral condyle in three dogs. Vet Comp Orthop Traumatol 2000; 13: 34-38.
  • 5 McKee McKee, Macias C. Bilateral fixation of Y-T humeral condyle fractures via medial and lateral approaches in 29 dogs. J Small Anim Pract 2005; 46: 217-226.
  • 6 Marcellin-Little DJ, DeYoung DJ, Ferris KK. et al. Incomplete ossification of the humeral condyle in spaniels. Vet Surg 1994; 23: 475-487.
  • 7 Butterworth Butterworth, Innes JF. Incomplete humeral condylar fractures in the dog. J Small Anim Pract 2001; 42: 394-398.
  • 8 Gordon WJ, Besancon MF, Conzemius MG. et al. Frequency of post -traumatic osteoarthritis in dogs after repair of a humeral condylar fracture. VetComp Orthop Traumatol 2003; 16: 1-5.
  • 9 Moaveni S. Finite Element Analysis. (2nd ed.) Pearson Education, New Jersey: Pearson; 2003: 47-48.
  • 10 Mac Donald BJ. Non Linear Finite Element Analysis of Complex Bulge Forming Processes. PhD Thesis. Dublin City University; 2000
  • 11 Ferguson SJ, Wyss UP, Pichora DP. Finite element analysis of a hybrid fracture fixation plate. Med Eng Phys 1995; 18: 241-250.
  • 12 Comiskey Comiskey, McCartney WT. Finite element modelling of humeral intercondylar fracture. Engineering PRJ (www.engineeringPRJ.com) 2005; D 01: 1-10
  • 13 McCartney WT, Comiskey DP, Mac Donald B. Use of transilial pinning for the treatment of sacroiliac separation in 25 dogs and finite element analysis of repair methods. Vet Comp Orthop Traumatol 2007; 20: 38-42.
  • 14 El-Shiekh HL. Finite element simulation of hip joint replacement under static and dynamic Loads. PhD Thesis. Dublin City University; 2002
  • 15 McCartney WT. The design, manufacture and analysis of a new implant for fracture fixation in human and veterinary orthopaedic surgery: The bone fastenerod. PhD Thesis. Dublin City University; 2003
  • 16 Stoffel Stoffel. et al. Stability control in locked internal fixator. Injury 2003; 34: 11-19.
  • 17 Muir P, Johnson KA, Markel MD. Area moment of inertia for comparison of implant cross-sectional geometry and bending stiffness. Vet Comp Orthop Traumatol 1995; 8: 146-152.
  • 18 McCartney WT, Mac Donald B, Comiskey Detal. Use of a plate and screws to repair lateral humeral condylar fractures in 10 dogs. Intl J Appl Res Vet Med 2005; 4: 335-338.