Case: Y fracture of the condyle of the humerus

A 35 Kg female dog presented with a very fragmented fracture of the bottom end of her humerus. The fracture extended down into the elbow joint. This is known as a Y fracture as is tricky to fix. The fracture was stabilised by means of two surgical approaches, one from the inside of the leg and one from the outside. The bone pieces were initially tacked with wire and pins, and then locking plates were placed down each side of the bone to buttress the repair. The fixation was very pleasing and the patient regained excellent limb function with a good range of motion. Some arthritis is likely in the future, but accurate rebuilding of the joint surface should minimise this.