Biomechanical testing of a hybrid locking plate fixation of equine sesamoid osteotomies

E Almeida da Silveira, M Lacourt, Y Elce, Y Petit, A. Levasseur

Research output: Contribution to journalArticlepeer-review


OBJECTIVE: To compare the biomechanical properties of a hybrid locking compression plate (LCP) construct with the compression screw technique as a treatment for transverse mid-body proximal sesamoid bone fractures.

METHODS: Ten paired forelimbs from abattoir horses were used. The medial proximal sesamoid bone of each limb was osteotomized transversely and randomly assigned, to either repair with a two-hole 3.5 mm LCP or a 4.5 mm cortical screw placed in lag fashion. Each limb was tested biomechanically by axial loading in single cycle until failure. The point of failure was evaluated from the load-displacement curves. Then a gross evaluation and radiographs were performed to identify the mode of failure.

RESULTS: The loads to failure of limbs repaired with the hybrid LCP construct (4968 N ± 2167) and the limbs repaired with the screw technique (3009 N ± 1091) were significantly different (p <0.01). The most common mode of failure was through a comminuted fracture of the apical fragment of the proximal sesamoid bone.

CLINICAL SIGNIFICANCE: The LCP technique has potential to achieve a better fracture stability and healing when applied to mid-body fractures of the proximal sesamoid bone. Further testing, particularly fatigue resistance is required to corroborate its potential as a treatment option for mid-body fractures of the proximal sesamoid bone.

Original languageEnglish
Pages (from-to)107-12
Number of pages6
JournalVeterinary and Comparative Orthopaedics and Traumatology
Issue number2
Publication statusPublished - 2014


  • Animals
  • Biomechanical Phenomena
  • Bone Plates
  • Fracture Fixation, Internal
  • Fractures, Bone
  • Horses
  • Osteotomy
  • Prosthesis Failure
  • Sesamoid Bones


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