PDF herunterladen
Vet Comp Orthop Traumatol 2021; 34(05): 321-326
DOI: 10.1055/s-0041-1729624
Original Research

Comparison of Single versus Double Lateral Plating in Treatment of Feline Ilial Fractures Using Veterinary Cuttable Plates

Tijn Wiersema
1   Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht, The Netherlands
,
Ties Koolen
2   Department of Orthopaedics, Evidensia Dierenziekenhuis Nieuwegein, Nieuwegein, The Netherlands
,
Lars F. H. Theyse
3   Department for Small Animals Soft Tissue and Orthopaedic Surgery Service, College of Veterinary Medicine, University of Leipzig, Leipzig, Germany
,
Roelof J. Maarschalkweerd
4   Department of Orthopaedics, Medisch Centrum voor Dieren, Amsterdam, The Netherlands
,
Cornelis D. van Zuilen
4   Department of Orthopaedics, Medisch Centrum voor Dieren, Amsterdam, The Netherlands
,
Sarah J. van Rijn
1   Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht, The Netherlands
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
    Lizenzen und Reprints

Abstract

Objective The aim of this study was to compare the frequency of implant failure and the extent of pelvic canal narrowing associated with the fixation of ilial fractures in cats with a single veterinary cuttable plate (SLP) or double veterinary cuttable plates (DLP) applied to the lateral surface of the ilium.

Study Design Radiographic evaluation of feline ilial fractures plated laterally using SLP or DLP. Pelvic canal narrowing directly postoperatively and at 6 weeks follow-up was objectively measured using the sacral index (SI). Radiographs were evaluated for implant failure and fracture healing.

Results Seventy-seven cats satisfied the inclusion criteria. Twenty-nine fractures were treated with a SLP and 48 with DLP. Implant failure occurred significantly more (p = 0.001) in the SLP group (14/29) compared with the DLP group (6/48). Follow-up SI was significantly different between the two groups (p = 0.048, SLP median: 1.0 range: 0.83–2.4, DLP median: 0.98; range: 0.76–1.45). Median change in SI was −0.04 (range: −1.4 to 0.05) in the SLP group and 0.0 (range: −0.23 to 0.23) in the DLP group. This difference was significantly different (p = 0.031).

Conclusion DLP leads to significantly less implant failure and significantly less pelvic canal narrowing compared with SLP. This difference in pelvic canal narrowing was small and the clinical relevance remains unclear.

Keywords

feline - veterinary cuttable plate - implant - double plating - ilial fracture

Authors' Contributions

All authors contributed to the conception of study, study design, acquisition of data and data analysis and interpretation. They drafted, revised and approved the submitted manuscript and are publically accountable for relevant content.


Supplementary Material



Publikationsverlauf

Eingereicht: 13. Juli 2020

Angenommen: 05. Februar 2021

Artikel online veröffentlicht:
03. Juni 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Phillips IR. A survey of bone fractures in the dog and cat. J Small Anim Pract 1979; 20 (11) 661-674
    CrossrefPubMedSuche in Google Scholar
  • 2 Bookbinder PF, Flanders JA. Characteristics of pelvic fracture in the cat. Vet Comp Orthop Traumatol 1992; 05 (03) 122-127
    Thieme ConnectPubMedSuche in Google Scholar
  • 3 Messmer M, Montavon PM. Pelvic fractures in the dog and cat: a classification system and review of 556 cases. Vet Comp Orthop Traumatol 2004; 17 (04) 167-183
    Thieme ConnectPubMedSuche in Google Scholar
  • 4 Meeson RL, Geddes AT. Management and long-term outcome of pelvic fractures: a retrospective study of 43 cats. J Feline Med Surg 2017; 19 (01) 36-41
    CrossrefPubMedSuche in Google Scholar
  • 5 Meeson R, Corr S. Management of pelvic trauma: neurological damage, urinary tract disruption and pelvic fractures. J Feline Med Surg 2011; 13 (05) 347-361
    CrossrefPubMedSuche in Google Scholar
  • 6 DeCamp CE. Fractures of the pelvis. In: Brinker, Piermattei and Flo's Handbook of Small Animal Orthopedics and Fracture Repair. 2nd edition.. St. Louis: Elsevier; 2016: 437-467
    CrossrefSuche in Google Scholar
  • 7 Moens NM, DeCamp CE. Fractures of the pelvis. In: Johnston SA, Tobias KM. eds. Veterinary Surgery: Small Animal. 2nd edition.. St. Louis: Elsevier; 2017: 938-956
    Suche in Google Scholar
  • 8 Doornink MT, Nieves MA, Evans R. Evaluation of ilial screw loosening after triple pelvic osteotomy in dogs: 227 cases (1991-1999). J Am Vet Med Assoc 2006; 229 (04) 535-541
    CrossrefPubMedSuche in Google Scholar
  • 9 DeCamp CE. Fractures of the pelvis. In: Johnson AL, Houlton JEF, Vannini R. eds. AO Principles of Fracture Management in the Dog and Cat. Stuttgart: Thieme; 2005: 161-200
    Suche in Google Scholar
  • 10 Hamilton MH, Evans DA, Langley-Hobbs SJ. Feline ilial fractures: assessment of screw loosening and pelvic canal narrowing after lateral plating. Vet Surg 2009; 38 (03) 326-333
    CrossrefPubMedSuche in Google Scholar
  • 11 Schmierer PA, Kircher PR, Hartnack S, Knell SC. Screw loosening and pelvic canal narrowing after lateral plating of feline ilial fractures with locking and nonlocking plates. Vet Surg 2015; 44 (07) 900-904
    CrossrefPubMedSuche in Google Scholar
  • 12 Matthiesen DT, Scavelli TD, Whitney WO. Subtotal colectomy for the treatment of obstipation secondary to pelvic fracture malunion in cats. Vet Surg 1991; 20 (02) 113-117
    CrossrefPubMedSuche in Google Scholar
  • 13 Langley-Hobbs SJ, Meeson RL, Hamilton MH, Radke H, Lee K. Feline ilial fractures: a prospective study of dorsal plating and comparison with lateral plating. Vet Surg 2009; 38 (03) 334-342
    CrossrefPubMedSuche in Google Scholar
  • 14 Schmierer PA, Smolders LA, Zderic I, Gueorguiev B, Pozzi A, Knell SC. Biomechanical properties of plate constructs for feline ilial fracture gap stabilization. Vet Surg 2019; 48 (01) 88-95
    CrossrefPubMedSuche in Google Scholar
  • 15 Troger J-C, Viguier E. Use of T-plates for the stabilisation of supra-cotyloid ilial fractures in 18 cats and five dogs. Vet Comp Orthop Traumatol 2008; 21 (01) 69-75
    Thieme ConnectPubMedSuche in Google Scholar
  • 16 Chou P, Runyon C, Bailey T, Béraud R. Use of Y-shaped TPLO plates for the stabilization of supracotyloid ilial fractures in four dogs and one cat. Vet Comp Orthop Traumatol 2013; 26 (03) 226-232
    Thieme ConnectPubMedSuche in Google Scholar
  • 17 Guthrie JW, Kalff S. Tibial plateau levelling osteotomy locking-compression plates for stabilisation of canine and feline ilial body fractures. J Small Anim Pract 2018; 59 (04) 232-237
    CrossrefPubMedSuche in Google Scholar
  • 18 Scrimgeour AB, Craig A, Witte PG. Locking T-plate repair of ilial fractures in cats and small dogs. Vet Comp Orthop Traumatol 2017; 30 (06) 453-460
    Thieme ConnectPubMedSuche in Google Scholar
  • 19 Hosgood G, Lewis DD. Retrospective evaluation of fixation complications of 49 pelvic osteotomies in 36 dogs. J Small Anim Pract 1993; 34 (03) 123-130
    CrossrefPubMedSuche in Google Scholar
  • 20 Simmons S, Johnson AL, Schaeffer DJ. Risk factors for screw migration after triple pelvic osteotomy. J Am Anim Hosp Assoc 2001; 37 (03) 269-273
    CrossrefPubMedSuche in Google Scholar