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Vet Comp Orthop Traumatol 2007; 20(04): 308-311
DOI: 10.1160/VCOT-06-12-0095
Clinical Communication
Schattauer GmbH

Rod-through-plate fixation of canine diaphyseal fractures

V. Andrianov
1   Institute of Veterinary Medicine, Department of Surgery, Estonian University of Life Sciences, Estonia
,
G. Tralman
2   Private Practice, Small Animal Clinic, Tallinn, Estonia
,
R. Hõim
1   Institute of Veterinary Medicine, Department of Surgery, Estonian University of Life Sciences, Estonia
,
T. Haviko
3   Clinic of Traumatology and Orthopaedics, University of Tartu, Estonia
,
A. Lenzner
3   Clinic of Traumatology and Orthopaedics, University of Tartu, Estonia
,
M. Pääsuke
4   Institute of Exercise Biology and Physeotherapy, University of Tartu, Estonia
,
A. Arend
5   Department of Anatomy, University of Tartu, Ravila 19 Biomedicum, Tartu, Estonia
,
M. Aunapuu
5   Department of Anatomy, University of Tartu, Ravila 19 Biomedicum, Tartu, Estonia
› Author Affiliations
Further Information

Publication History

Received 07 December 2006

Accepted 11 March 2007

Publication Date:
18 December 2017 (online)

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Summary

Efficacy of the rod-through-plate fixation for fracture repair was evaluated in six clinical cases of canine long bone fractures. This fixation incorporates principles of intramedullary and extramedullary osteosynthesis for transverse and short oblique fractures of long tubular bones. The plate-through-rod device is comprised of one pair of curved rods, a connecting plate and two bone screws. The connecting plate has both a hole and a channel on each end. Curved rods have a long curved part and a straight part with a hole in it for screw fixation. All components are made up of medical stainless steel. Clinical and radiographical examinations were performed from week seven to18 months after the operation. Functional abnormalities were not observed at this period in five patients and all fractures were healed. In one patient screw stripping in the proximal fragment of the femur was detected radiologically and minimal implant dislocation was noted at seven weeks after the initial repair. The rod-through-plate fixation method gives strong fixation of bone fragments with minimal traumatization of soft tissue during the operation. The design of the rod-through-plate is intended to reduce pressure of the plate on the cortex in the area of the fracture, whereas the dynamic fixation provided by the intramedullary rods may allow micromotion, thus stimulating callus formation and avoiding implant- induced osteoporosis. Clinical relevance: The rod-through-plate fixator has a simple construction and its use expands the treatment possibilities for diaphyseal fractures of long bones.

Keywords

Bone - dog - rod-through-plate fixation - internal fixation
 

  • References

  • 1 De Young DJ. et al. Methods of Internal Fracture Fixation. In: Textbook of Small Animal Surgery. Ed. Slatter D.H.. Philadelphia: W.B. Saunders Company; 1993: 1622-1624.
    Google Scholar
  • 2 Denny Denny. et al. Options in Fracture Management. In: A Guide to Canine and Feline Orthopaedic Surgery. Oxford, MA: Blackwell Science; 2000: 87-131.
    Google Scholar
  • 3 Brinker Brinker. et al. Handbook of small animal orthopedics and fracture treatment. Philadelphia: WB. Saunders Company; 1991: 7-25.
    Google Scholar
  • 4 Perren SM. Physical and biological aspects of fracture healing with special reference to internal fixation. Clin Orthop RelatedRes 1979; 138: 175-196.
    PubMedGoogle Scholar
  • 5 Anderson Anderson. et al. Experimental fractures treated with loose and tight fitting medullary nails. Surg Forum 1962; 13: 455-457.
    PubMedGoogle Scholar
  • 6 Uhthoff Uhthoff. et al. Bone structure changes in the dog under rigid internal fixation. Clin Orthop RelatRes 1971; 81: 165-170.
    PubMedGoogle Scholar
  • 7 Prieur WD. Technical Classification of Screw Types. In: Manual of Internal Fixation in Small Animals. Brinker WO, Hohn RB, Prieur WD. Berlin Heidelberg New York Tokyo: Springer-Verlag; 1984: 41-45.
    Google Scholar
  • 8 Schatzker Schatzker. et al. Concepts of fracture stabilizations. In: Bone in Clinical Orthopaedics. Sumner-Smith G. Stuttgart, New York: Thieme; 2002: 327-346.
    Google Scholar
  • 9 Hulse Detal. Reduction in plate strain by addition of an intramedullary pin. Vet Surg 1997; 26: 451-459.
    CrossrefPubMedGoogle Scholar
  • 10 Seppo Seppo. et al. The reponator-fixator of dr. A. Seppo for osteosynthesis of fractures of long tubular bones. Tallinn, Valgus: 1979: 1-185.
    PubMedGoogle Scholar
  • 11 Seppo A. Metalosteosynthesis for Bone Fracture Repair based on Medical Technology. Periodika: Tallinn 1978; 5-77.
    PubMedGoogle Scholar
  • 12 Andrianov VA. et al. Combined metalosteosynthesis technique for reduction of fragments of long tubular bones. J Agric Sci 2003; 3: 144-151.
    PubMedGoogle Scholar
  • 13 Vasseur Vasseur. et al. Evaluation of fixation devices for prevention of rotation in transverse fractures of the canine femoral shaft: An in vitro study. Am J VetRes 1984; 45: 1504-1507.
    PubMedGoogle Scholar
  • 14 Wolff EF. Rush Pins in Veterinary Orthopedics – A Review. J Am Hosp Assoc 1975; 11: 756-761.
    PubMedGoogle Scholar
  • 15 Wilson WJ. Effects of fixation on bone blood supply. In: Bone in Clinical Orthopaedics. Sumner-Smith G. Stuttgart, NewYork: Thieme; 2002: 72-81.
    Google Scholar
  • 16 Field JR. Bone Plate Fixation: Its Relationship with Implant Induced Osteoporosis. Vet Comp Orthop Traumatol 1997; 10: 88-94.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Basinger Basinger. et al. Two techniques for supplementing interlocking nail repair of fractures of the humerus, femur, and tibia: results in 12 dogs and cats. Vet Surg 2004; 33: 673-680.
    CrossrefPubMedGoogle Scholar