title: An in vitro biomechanical comparison of a prototype equine metacarpal dynamic compression plate fixation with double dynamic compression plate fixation of osteotomized equine third metacarpal bones.
abstract: OBJECTIVE
  To compare the monotonic biomechanical properties of a prototype equine third metacarpal dynamic compression plate (EM-DCP) fixation with a double broad dynamic compression plate (DCP) fixation to repair osteotomized equine third metacarpal (MC3) bones.
  
  
  METHODS
  In vitro biomechanical testing of paired cadaveric equine MC3 with a mid-diaphyseal osteotomy, stabilized by 1 of 2 methods for fracture fixation.
  
  
  METHODS
  Twelve pairs of adult equine cadaveric MC3 bones.
  
  
  METHODS
  Twelve pairs of equine MC3 were divided into 3 test groups (4 pairs each) for (1) 4-point bending single cycle to failure testing, (2) 4-point bending cyclic fatigue testing, and (3) torsional testing. The EM-DCP (10-hole, 4.5 mm) was applied to the dorsal surface of one randomly selected bone from each pair. Two DCPs, 1 dorsally (10-hole, 4.5 mm broad) and 1 laterally (9-hole, 4.5 mm broad) were applied to the contralateral bone from each pair. All plates and screws were applied using standard AO/ASIF techniques to MC3 bones that had mid-diaphyseal osteotomies. Mean test variable values for each method were compared using a paired t-test within each group. Significance was set at P<.05.
  
  
  RESULTS
  Mean 4-point bending yield load, yield bending moment, bending composite rigidity, failure load and failure bending moment of the EM-DCP fixation were significantly greater (P<.0001) than those of the double broad DCP fixation. Mean cycles to failure in 4-point bending of the EM-DCP fixation was significantly greater (P<.0008) than that of the double broad DCP fixation. Mean yield load, composite rigidity, and failure load in torsion of the EM-DCP fixation were significantly greater (P<.0035) than that of the double broad DCP fixation.
  
  
  CONCLUSIONS
  The EM-DCP provides increased stability in both static overload testing and cyclic fatigue testing.
  
  
  CONCLUSIONS
  Results of this in vitro study support the conclusion that the prototype EM-DCP fixation is biomechanically superior to the double broad DCP fixation for the stabilization of osteotomized equine MC3.
authors.affiliation: From the Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA. gsod@vetmed.lsu.edu
authors.forename: Gary A
authors.initials: GA
authors.lastname: Sod
authors.forename: Jeremy D
authors.initials: JD
authors.lastname: Hubert
authors.forename: George S
authors.initials: GS
authors.lastname: Martin
authors.forename: Marjorie S
authors.initials: MS
authors.lastname: Gill
mesh_terms: D000818:Animals; D001696:Biomechanical Phenomena; D001858:Bone Nails / Q000662:veterinary; D001860:Bone Plates / Q000662:veterinary; D002102:Cadaver; D019245:Compressive Strength / Q000502:physiology; D005593:Fracture Fixation, Internal / Q000379:methods / Q000662:veterinary*; D050723:Fractures, Bone / Q000601:surgery / Q000662:veterinary*; D006736:Horses / Q000293:injuries* / Q000601:surgery; D050279:Metacarpal Bones / Q000293:injuries* / Q000601:surgery*; D010027:Osteotomy / Q000379:methods / Q000662:veterinary*; D011897:Random Allocation; D014102:Torsion Abnormality / Q000662:veterinary