Vet Comp Orthop Traumatol 2003; 16(03): 191-195
DOI: 10.1055/s-0038-1632776
Case Report
Schattauer GmbH

Percutaneous plating of tibial fractures in two dogs

H. G. Schmökel
1   Department of Clinical Veterinary Medicine, Division of Small Animal Surgery, University of Berne, Switzerland
,
K. Hurter
1   Department of Clinical Veterinary Medicine, Division of Small Animal Surgery, University of Berne, Switzerland
,
P. Schawalder
1   Department of Clinical Veterinary Medicine, Division of Small Animal Surgery, University of Berne, Switzerland
› Author Affiliations
Further Information

Publication History

Received 13 June 2002

Accepted 12 November 2002

Publication Date:
22 February 2018 (online)

Summary

A trend toward minimally invasive procedures in the treatment of fractures in human patients is apparent in recent publications. Percutaneous plating is one method of fracture fixation, conceived to minimise soft tissue damage and preserve soft tissue and bone vascularity. The use of fewer screws, in longer bridging plates, is also a relatively new technique in the stabilisation of comminuted diaphyseal fractures in human patients. A combination of these techniques was applied in two dogs with comminuted tibial fractures.

The plates were passed subfascially and the screws inserted through skin incisions over the proximal and distal ends of the plate. Follow-up radiographs revealed fracture healing with callus formation after four or five weeks. Percutaneous plating seems to be a useful technique in small animals. Further studies on larger numbers of patients are needed to define the benefits and the limitations of this technique.

 
  • References

  • 1 Aron DN. Biological strategies and a balanced concept for the repair of highly comminuted long bone fractures. Comp Cont Edu Small Anim 1995; 17: 35-47.
  • 2 Brunnberg L. Die no contact plate (NCP) Osteosyntheseplatteein neues biologisches Implantatsystem. Kleintierpraxis 1998; 43: 579-91.
  • 3 Cabassu JP. Elastic plate osteosynthesis of femoral shaft fractures in young dogs. Vet Comp Orthop Traumatol 2001; 14: 40-5.
  • 4 Claes L. Fixation technique influences osteogenesis of comminuted fractures. Clin Orthop Rel Res 1999; 365: 221-9.
  • 5 Collinge CA, Snaders RW. Percutaneous plating in the lower extremity. J Am Acad Orthop Surg 2000; 08: 211-6.
  • 6 Farouk O. Effects of percutaneous and conventional plating techniques on the blood supply to the femur. Arch Orthop Trauma Surg 1998; 117: 438-41.
  • 7 Field JR, Törnkvist H. Biological fracture fixation: a perspective. Vet Comp Orthop Traumatol 2001; 14: 169-78.
  • 8 Gautier E, Ganz R. The biological plate osteosynthesis. Zentralbl Chir 1994; 119: 564-72.
  • 9 Heitemeyer U, Hierholzer G. Indications for a bridging plate osteosynthesis of compound femoral fractures. Aktuelle Traumatol 1991; 21: 173-81.
  • 10 Heitemeyer U. Significance of postoperative stability for bony reparation of comminuted fractures. An experimental study. Arch Orthop Trauma Surg 1990; 109: 144-9.
  • 11 Heitemeyer U. Severely comminuted femoral shaft fractures: treatment by bridging-plate osteosynthesis. Arch Orthop Trauma Surg 1987; 106: 327-30.
  • 12 Hulse D. Reduction in plate strain by addition of an intramedullary pin. Vet Surg 1997; 26: 451.
  • 13 Johnson AL. Biomechanics and biology of fracture healing with external skeletal fixation. Comp Cont Edu Small Anim 1998; 20: 487-500.
  • 14 Johnson AL. Fragment reconstruction and bone plate fixation versus bridging plate fixation for treating highly comminuted femoral fractures in dogs: 35 cases (1987-1997). J Am Vet Med Assoc 1998; 213: 1157-61.
  • 15 Palmer RH. Biological osteosynthesis. Vet Clin North Am Small Anim Pract 1999; 29: 1171-85.
  • 16 Richter D. Minimally invasive therapeutic concepts in fracture surgery. Z Arztl Fortbild Qualitätssich 1999; 93: 245-51.
  • 17 Rozbruch RS. et al. The evolution of femoral shaft plating technique. Clin Orthop Rel Res 1998; 354: 195-208.