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

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.