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Our study aims to describe the surgical technique for temporary transarticular immobilization of the stifle joint using a locking plate and evaluate complications and outcomes.The medical records of dogs and cats that underwent transarticular immobilization of the stifle joint using a locking plate in two institutions from August 2018 to January 2024 were retrospectively evaluated.After managing the primary injury, a locking plate was contoured to fit the medial surface of the distal femur and proximal tibia, limiting the implant to the distal third of the femur and proximal third of the tibia, with immobilization at a 135 to 145-degree angle.Temporary transarticular immobilization of the stifle joint was performed in 16 stifle joints in 14 patients, with two dogs undergoing bilateral surgery. The transarticular implants were removed at a mean time of 55,86 ± 18,05 days postoperatively (median: 58, range: 27-96 days). No intraoperative complications were recorded. One major complication was recorded in a Galgo Espanol with a patellar fracture and patellar ligament lesion in which plate breakage was recorded 19 days after surgery, requiring early plate removal and application of an orthosis for 3 weeks. Four minor complications were recorded.Preliminary results suggest that a transarticular locking plate is effective for temporary stifle immobilization, with a low morbidity and complication rate. Dedicated implants should be developed to decrease the risk of plate failure.
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http://dx.doi.org/10.1055/a-2577-1520 | DOI Listing |
Unfallchirurgie (Heidelb)
September 2025
Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, Gebäude W1, 48149, Münster, Deutschland.
The bony consolidation of fractures depends on various factors. Under optimal conditions fracture healing takes place within a few weeks. An essential requirement for fracture healing is the restoration of adequate biomechanical stability with an interfragmentary movement which is as ideal as possible.
View Article and Find Full Text PDFVet Surg
September 2025
Clinic for Small Animals, University of Veterinary Medicine Hannover, Hannover, Germany.
Objective: To describe and compare arthroscopy-assisted (AA) with fluoroscopy-assisted (FA) minimally invasive plate osteosynthesis (MIPO) for simple transverse acetabular fractures.
Study Design: Ex vivo cadaveric study.
Sample Population: A total of 10 canine cadavers (>20 kg) without coxofemoral joint disease.
Cureus
August 2025
Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
Osteochondromas are the most common benign bone tumors and are frequently discovered incidentally in the metaphyseal regions of long bones during growth. While typically asymptomatic, they may occasionally lead to complications such as neurovascular impingement, mechanical irritation, or pathological fractures. Salter-Harris type II fractures represent the most frequent physeal injuries in pediatric populations, particularly in rapidly growing regions like the distal femur.
View Article and Find Full Text PDFJ Orthop Translat
November 2025
AO Research Institute Davos, Davos, Switzerland.
Background/objective: Plate failure, including bending, is a critical issue in orthopedic fracture fixation, with clinical failure rates of 3.5%-19%, burdening patients and healthcare systems. Preclinical ovine models have observed similar plate bending due to overloading.
View Article and Find Full Text PDFAm J Case Rep
September 2025
Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.
BACKGROUND Periprosthetic tibial fractures following total knee arthroplasty (TKA) are increasingly encountered in very elderly patients, where multiple comorbidities and osteoporosis compromise early mobilization and elevate the risk of complications. Maintaining pre-injury activities of daily living (ADL) while ensuring safe surgical management is challenging. We present a case of a 95-year-old woman with a periprosthetic tibial shaft fracture managed with open reduction, additional plate fixation, and Ilizarov external fixation, enabling immediate postoperative weight-bearing.
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