Peer-reviewed veterinary case report
Repair of Y-T humeral fractures in dogs with paired SOP plates
By Ness, M G·Published in Veterinary and comparative orthopaedics and traumatology : V.C.O.T·2009·Croft Veterinary Hospital, United Kingdom·View original on PubMed →
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Original publication title: Repair of Y-T humeral fractures in the dog using paired 'String of Pearls' locking plates.
- Species:
- dog
Plain-English summary
Thirteen dogs with Y-T humeral fractures, which are serious injuries to the elbow area, were treated using a special surgical technique involving paired "String of Pearls" plates. After surgery, 10 of the dogs had excellent recovery, two had good outcomes, and one did poorly. Most of the working dogs returned to their normal activities, including work. While some complications arose that needed further surgery, the overall results were promising compared to other treatment methods.
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Abstract
OBJECTIVES: To describe a technique for treating Y-T humeral fractures using paired string of pearls (SOP) plates and to review the outcome in 13 cases. METHODS: A series of 13 consecutive Y-T humeral fractures, otherwise known as distal humeral dicondylar fractures, were treated according to a surgical protocol which involved combined medial and lateral surgical approaches, accurate reduction and fixation of the condylar fracture with a single transcondylar lag screw, and then re-alignment and fixation of the diaphyseal fracture using two SOP plates and screws. RESULTS: Functional outcome was recorded as excellent in 10 dogs, good in two and poor in one. Six of the 13 patients were working dogs and of these, five returned to pre-injury levels of activity, including work. Complications requiring additional surgery were seen in four of the 13 cases, and three of these cases had a sub-optimal functional outcome. CLINICAL SIGNIFICANCE: The results following repair of Y-T fractures using SOP locking plates, placed via combined medial and lateral incisions, compared favourably with those reported for other techniques.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19876528/