title: An in vitro biomechanical comparison of a prototype intramedullary pin-plate with a dynamic compression plate for equine metacarpophalangeal arthrodesis.
abstract: OBJECTIVE
  To compare the biomechanical properties of a prototype intramedullary pin-plate (IMPP) implant specifically designed for equine metacarpophalangeal (MCP) arthrodesis with a dynamic compression plate (DCP) system.
  
  
  METHODS
  In vitro biomechanical testing of paired cadaveric equine forelimbs with a simulated traumatic disruption of the suspensory apparatus, stabilized by one of two methods for MCP arthrodesis.
  
  
  METHODS
  Twenty-one pairs of adult equine cadaveric forelimbs.
  
  
  METHODS
  Each forelimb had the distal sesamoidean ligaments severed to create a disrupted suspensory apparatus. For each forelimb pair, the MCP joint was stabilized with the IMPP in one limb, and a DCP in the other limb. Seven matching limb pairs were tested in axial compression in a single cycle to failure, 7 matching limb pairs were tested in torsion in a single cycle to failure, and 7 matching limb pairs were fatigued tested in axial compression. Mean test variable values for each method were compared using a paired t-test within each group. Significance was set at P<.05.
  
  
  RESULTS
  The mean yield load, yield stiffness, and failure load (axial compression, torsional loading) was significantly greater for the IMPP compared with the DCP system. Mean cycles to failure for axial compression was significantly greater for the IMPP compared with the DCP system. Significance in all tests was P<.0001.
  
  
  CONCLUSIONS
  The IMPP was superior to the DCP system in resisting the biomechanical forces most likely to cause failure of MCP joint arthrodesis.
  
  
  CONCLUSIONS
  The IMPP implant should be considered for MCP arthrodesis in horses with traumatic disruption of the suspensory apparatus. The specific design of the IMPP implant may facilitate equine MCP arthrodesis and avoid convalescent complications related to cyclic fatigue.
authors.affiliation: Equine Health Studies Program, Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA. GarySod@aol.com
authors.forename: Gary A
authors.initials: GA
authors.lastname: Sod
authors.forename: George S
authors.initials: GS
authors.lastname: Martin
mesh_terms: D000818:Animals; D001696:Biomechanical Phenomena; D001858:Bone Nails / Q000662:veterinary*; D001860:Bone Plates / Q000662:veterinary*; D005552:Forelimb / Q000293:injuries / Q000601:surgery; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000662:veterinary*; D050723:Fractures, Bone / Q000601:surgery / Q000662:veterinary*; D006736:Horses / Q000293:injuries* / Q000601:surgery