title: Distal humeral Salter Harris (Type II) fracture repair by an ulnar osteotomy approach in a horse.
abstract: OBJECTIVE
  To report repair of a comminuted distal humeral type II Salter-Harris fracture using an ulnar osteotomy approach and locking compression plates (LCP).
  
  
  METHODS
  Case report.
  
  
  METHODS
  A 3-month-old Standardbred filly with a type II Salter-Harris fracture of the distal humerus.
  
  
  METHODS
  Radiographic and computed tomography examinations were performed to assist surgical planning. The distal humeral fracture was approached by an ulnar osteotomy and repaired using a 7-hole broad LCP and screws inserted in lag fashion. The osteotomy was subsequently repaired using a 7-hole narrow LCP.
  
  
  RESULTS
  The distal humeral fracture was successfully approached and stabilized by an ulnar osteotomy approach. At 6-month follow-up, the filly was ambulating comfortably with a normal cosmetic appearance.
  
  
  CONCLUSIONS
  An ulnar osteotomy approach was readily performed and allowed for repair of a type II Salter-Harris fracture of the distal humerus.
  
  
  CONCLUSIONS
  The equine distal humerus can be accessed readily using an ulnar osteotomy approach. LCPs allow for repair of complicated fractures that have previously been associated with a grave prognosis.
authors.affiliation: Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA, USA. ahern@vet.upenn.edu
authors.forename: Benjamin J
authors.initials: BJ
authors.lastname: Ahern
authors.forename: Dean W
authors.initials: DW
authors.lastname: Richardson
mesh_terms: D000818:Animals; D005260:Female; D017102:Fracture Healing / Q000502:physiology*; D006736:Horses; D006810:Humeral Fractures / Q000601:surgery / Q000662:veterinary*; D015601:Injury Severity Score; D010027:Osteotomy / Q000379:methods / Q000662:veterinary*; D020127:Recovery of Function; D016896:Treatment Outcome; D014457:Ulna / Q000601:surgery