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Comminuted supracondylar humeral fractures repaired with a modified type I external skeletal fixator construct
Author(s) -
Guerin S. R.,
Lewis D. D.,
Lanz O. I.,
Stalling J. T.
Publication year - 1998
Publication title -
journal of small animal practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 67
eISSN - 1748-5827
pISSN - 0022-4510
DOI - 10.1111/j.1748-5827.1998.tb03699.x
Subject(s) - intramedullary rod , medicine , humerus , external fixator , surgery , orthodontics
Highly comminuted supracondylar humeral fractures were stabilised in six large‐breed dogs with a modified type I external fixator using a craniomedial acrylic connecting column and an Intramedullary pin which was incorporated into the connecting frame. This construct provided sufficient stability to allow satisfactory bone healing in five of the six dogs, while premature removal of the intramedullary pin and external fixator resulted in subsequent refracture of the humerus in the remaining dog. Limb function at the time of final assessment was considered excellent in two dogs, good in three dogs and poor in one dog. The craniomedial acrylic connecting column simplified application of this modified type 1(a) configuration to the humerus by reducing the number of clamps required; the acrylic column also facilitated contouring of the cranlomedial connecting column to the brachium and was readily extended proxlmally to engage the intramedullary pin. In addition, the acrylic connecting column allowed placement of intramedullary pins of varying diameter.