Evaluation of polyaxial locking plate system and locking compression plate for tibial fracture repair in goats

CHIMKODE  SHASHIKANT; D  DILIPKUMAR; MANJUNATH  PATIL

doi:10.56093/ijans.v94i3.147187

Authors

CHIMKODE SHASHIKANT Karnataka Veterinary, Animal and Fisheries Sciences University, Bidar, Karnataka 585 226 India
D DILIPKUMAR Karnataka Veterinary, Animal and Fisheries Sciences University, Bidar, Karnataka 585 226 India
MANJUNATH PATIL Karnataka Veterinary, Animal and Fisheries Sciences University, Bidar, Karnataka 585 226 India

https://doi.org/10.56093/ijans.v94i3.147187

Keywords:

Fracture, Goat, LCP, PAX, Tibia

Abstract

The present study was conducted to evaluate polyaxial locking plate system (PAX) and locking compression plate (LCP) in twelve tibial fracture of goats. The cases were divided into two groups, viz. group I and group II having six goats in each. Group I and II treated with Polyaxial locking plate system (PAX) and Locking compression plate (LCP), respectively. The two techniques were evaluated on the basis of clinical and radiological changes observed on pre-operative day and at post-operative days 0, 15, 30 and 60. All the animals showed slight to moderate weight bearing from 7^th to 15^th post-operative day and moderate to good weight bearing by 30^th post operative day. Good to excellent weight bearing was achieved by 60^th post-operative day. Functional weight bearing was observed in all the groups by day 60. Radiological evaluation revealed that fracture healing in all the groups was through primary callus formation. Initiation of periosteal callus was noticed on day 15 in all the groups. Apparent bridging of the fracture site was noticed in all the groups on day 30. Cortico-medullary union was established on day 60. The complete union and initiation of remodelling of fracture was observed to be earlier in group II, compared to group I. Both Polyaxial Locking plate system and locking compression plates had sufficient strength to provide stability at fracture site but slightly better weight bearing without any complication was observed in animals treated with LCP.

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References

Barnhart M D, Rides C F, Kennedy S C, Aiken S W, Walls C M, Horstman C L, Mason D, Chandler J C, Brourman J D, Murphy S M and Pike F. 2012. Fracture repair using a polyaxial locking plate system (Pax). Veterinary Surgery 42(1): 60–66.

Bassanino J, Kaczmarek J, Boursier J F, Mindner J, Paton R, Bedu A S, Unger M, Scharvogel S, Meiler D and Leperlier D. 2021. Radiographically confirmed outcomes after fracture repair with a pls polyaxial locking system in 40 dogs and cats. Veterinary Surgery 50(3): 571–78.

Bottlang M, Tsai S, Bliven E K, Von Rechenberg B, Klein K, Augat P, Henschel J, Fitzpatrick D C and Madey S M, 2016. Dynamic stabilization with active locking plates delivers faster, stronger, and more symmetric fracture-healing. The Journal of Bone and Joint Surgery 98(6): 466.

Butterworth S. 1993. Use of external fixators for fracture treatment in small animals. In Practice 15: 183–92.

Chandini 2018. ‘Comparative evaluation of locking reconstruction plate and locking compression plate for long bone fracture repair in dogs’. M.V.Sc. Thesis, Maharashtra Animal and Fishery Sciences University, Maharashtra. Nagpur. Maharashtra, India.

Chaudhary P E. 1982. ‘Effect of supportive treatment on fracture healing in goats and sheep’. M.V.Sc. Thesis, Dr. Panjabrao Deshmukh Krishi Vidyapeeth, Akola, Maharashtra, India.

Cronier P, Pietu G, Dujardin C, Bigorre N, Ducellier F and Gerard R. 2010. The concept of locking plates. Orthopaedics and Traumatology: Surgery and Research. 96(4): 17–36.

Egol K, Kubiak E, Fulkerson E, Kummer F and Koval K. 2004. Biomechanics of locked plates and screws. Journal of Orthopaedic Trauma 18(8): 448–93.

Fox S M, Bray J C, Guerin S R and Burbridge H M. 1995. Antebrachial deformities in the dog: Treatment with external fixation. Journal of Small Animal Practice 36(7): 315–20.

Jackson P G G and Cockcroft P D. 2002. Clinical examination of farm animals, pp. 281-283 Blackwell Science, Oxford.

Kowaleski M P. 2009. Synthesis locking compression plate system. Cummings School of Veterinary Medicine, Tufts University, North Grafton, M A. Mbuiki S M and Byagagaire S D. 1984. Full limb casting: a treatment for tibial fractures in calves and goats. Veterinary Medicine, Small Animal Clinician 79: 243–44.

Morgan J I. 1972. Radiology in veterinary orthopaedics. Lea and Febiger, Philadelphia, pp 44.

Reems M R, Beale B S and Hulse D A. 2003. Use of a plate-rod construct and principles of biological osteosynthesis for repair of diaphyseal fractures in dogs and cats: 47 cases (1994– 2001). Journal of American Veterinary Medical Association 223(3): 330–35.

Reilly L K, Baird A N and Pugh D G. 2012. Diseases of musculoskeletal system. sheep and goat Medicine, Edt. Pugh, D.G. and Baird, A.N., Edn. 2nd., Saunders Elsevier, Missouri. pp 230.

Schutz M and Sudkamp N P. 2003. Revolution in plate osteosynthesis: New internal fixator systems. Journal of Orthopaedic Science 8(2): 252–58.

Singh A P, Nayer K N M, Chandna I S, Chawla S K and Nigam J M. 1984. Post- operative complications associated with fracture repair of long bones in bovines, equine and ovine. Indian Journal of Veterinary Surgery 5(1): 45–47.

Singh H, Sahay P N and Dass L L. 2008. Gross and functional alterations following transfixation osteosynthesis in goats. Journal of Research, Birsa Agricultural University. 20(1): 135–38.

Singh A P, Singh G. and Singh P. 2006. Fractures. In: Tyagi R P S and Singh J. (Ed.), Ruminant Surgery. 1st. Edn., CBS Publishers And Distributers, New Delhi, pp 344-345.

Sirin O S, Kaya U and Olcay B. 2013. Clinical and radiological outcomes of locking compression plate system in dogs with diaphyseal fractures: 32 Cases. Journal-faculty-veterinary- medicine-kafkas-university.19: 13–18.

Snedecor G W and Cochran W G. 1994. Statistical Methods. Edt. Snedecor, G.W. and Cochran, W.G. Edn. 8th., Affiliated East- West Press Pvt. Ltd, New Delhi, pp. 53- 58

Sommer C, Gautier E, Müller M, Helfet D L and Wagner M. 2003. First clinical results of the locking compression plate (LCP). Injury 34: 43–54.

Vasseur P B, Johnson A L, Budsberg S C, Lincoln J D, Toombs J P, Whitehair J G and Lentz E L. 1995. Randomized controlled trial of the efficacy of carprofen a nonsteroidal anti-inflammatory drug, in the treatment of osteoarthritis in dogs. Journal of American Veterinary Medical Association 206: 807–11.

Venugopalan A. 2009. Essentials of veterinary surgery. 8th Edn., Oxford and IBH Publishing Co., New Delhi Pp 166-173.

Vinit. 2017. ‘Comparative evaluation of veterinary cuttable plate and polypropylene mesh impregnated pmma plates for long bone fracture repair in goats.’ M.V.Sc. Thesis. Karnataka Veterinary Animal and Fisheries Science University, Bidar, Karnataka, India.

Wagner M. 2003. General principles for the clinical use of the locking compression Plate. Injury 4(2): 31–42.

Whelan D B, Bhandari M, Mckee M D, Guyatt G H, Kreder H J, Stephan D and Schemitsch E H. 2002. Interobserver and intraobserver variation in the assessment of healing of tibial fractures after intramedullary fixation. The Journal of Bone and Joint Surgery 84: 15–18.

Yadav G U, Sarkate L B, Lokhande, D U. and Khandekar G S. 2016. Long bone fractures and its repair in dogs: A study of 10 patients. Intas Polivet 17(1): 6–8.