Macias C, Gibbons S E, McKee W M
Centro Veterinario De Referencia Bahía de Málaga, Parque Empresarial Laurotorre 25, Alhaurín de la Torre, 29130 Málaga, Spain.
J Small Anim Pract. 2006 Feb;47(2):89-93. doi: 10.1111/j.1748-5827.2006.00026.x.
Five cats with Y-T fractures of the humeral condyle were reviewed. Breeds presented included domestic shorthair (four cats) and Maine Coon (one cat). Age ranged from two to 16 years. All the cats were neutered males. A road traffic accident was suspected in all cases. Four of the fractures were severely comminuted and one fracture had four fragments. The fractures were repaired via combined medial and lateral approaches. Fixation of the epicondylar ridges was performed using buttress plates in four cases and neutralisation plates in one case. The intracondylar fracture was stabilised using a 2.7 mm lag screw in four cases and a 3.5 mm lag screw in the other. A corticocancellous bone graft was applied in two cases. The intracondylar fracture was accurately reduced in all cases. Complete radiographic healing was documented in two cases 6 and 11 weeks following surgery. Failure of the fixation occurred in the most severely comminuted fracture five days postoperatively. Surgical revision was not performed, and the limb was amputated. Three cats were free of lameness and had resumed outdoor activities at follow-up (five to eight months after surgery). Marked lameness due to loss of elbow movement was observed in the other case.
对5只患有肱骨髁Y型骨折的猫进行了回顾性研究。所呈现的品种包括家猫（4只）和缅因猫（1只）。年龄范围为2至16岁。所有猫均为绝育雄性。所有病例均怀疑是道路交通事故所致。其中4处骨折严重粉碎，1处骨折有4块碎片。通过内侧和外侧联合入路修复骨折。4例使用支撑钢板固定髁上嵴，1例使用中和钢板。4例使用2.7 mm拉力螺钉稳定髁内骨折，另1例使用3.5 mm拉力螺钉。2例应用了皮质松质骨移植。所有病例的髁内骨折均准确复位。术后6周和11周有2例记录到完全的影像学愈合。最严重粉碎性骨折术后5天固定失败。未进行手术翻修，对患肢进行了截肢。3只猫在随访时（术后5至8个月）无跛行，已恢复户外活动。另一例因肘部活动丧失出现明显跛行。
