Evaluation of modified advanced locking plate system and polyaxial locking plate system with plate-rod and plating techniques for femur fracture repair in Dogs

SWAROOP  G L; D  DILIPKUMAR; MANJUNATH  PATIL

doi:10.56093/ijans.v95i1.148934

Authors

SWAROOP G L Karnataka Veterinary Animal and Fisheries Science University, Bidar, Karnataka 585 226 India
D DILIPKUMAR Karnataka Veterinary Animal and Fisheries Science University, Bidar, Karnataka 585 226 India
MANJUNATH PATIL Karnataka Veterinary Animal and Fisheries Science University, Bidar, Karnataka 585 226 India https://orcid.org/0000-0002-0525-1381

https://doi.org/10.56093/ijans.v95i1.148934

Keywords:

Dogs, Femur fracture, mALPS, PAX, Plate-Rod

Abstract

The present study was conducted in twenty-four clinical cases of femoral fracture in dogs were divided into four Groups. The femoral fractures in dogs of Group I were repaired using mALPS plating, Group II were repaired by PAX plating, Group III were repaired using mALPS plate-rod construct and Group IV were repaired with PAX plate-rod construct. Based on clinical, physiological and radiological analysis, healing of the fractures was studied at intervals of 0, 15^th, 30^th, 60^th and 90^th post-operative days. Dog’s performance in fracture healing techniques with PAX plating, PRC – PAX, PRC – mALPS and mALPS plating Groups showed better weight-bearing on the fractured limb, immediately after the surgical repair while standing. Lameness grading in all the Groups showed that PAX had a statistically superior healing time in both PRC and plating techniques when compared with mALPS. Physiological parameters were fluctuated within normal physiological limits in all the Groups of animals suggesting that fracture healing period did not produced any changes in physiological parameters. Radiographic evaluation revealed that, fracture healing was slightly better in PAX plate when compared to mALPS and the comparison between the mALPS - PRC and the PAX - PRC revealed that PAX – PRC had slightly more rigid fixation when compared to mALPS – PRC.

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References

Bassanino J, Kaczmarek J, Boursier J, 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 systemin40 dogs and cats. Veterinary Surgery 50(3): 571–78.

Cook J L, Tomlinson J L and Reed A L. 1999. Fluroscopically guided closed reduction and internal fixation of fractures of the lateral portion of the humeral 165 condyle: Prospective clinical study of the technique and result in ten dogs. Veterinary Surgery 28: 315-321.

Dickomeit M, Alves L and Pekarkova M. 2011. Use of a 1.5 mm butterfly locking plate for stabilization of atlantoaxial pathology in three toy breed dogs. Veterinary and Comparative Orthopaedics and Traumatology 3:246–251.

Guerrero T. 2018. The Advanced Locking Plate System (ALPS), in: Barnhart, M D, Maritato K C (Eds.). Locking Plates in Veterinary Orthopedics. Wiley, pp. 69–75.

Guiot L P, Guillou R P and Déjardin L M. 2017. Minimally invasive percutaneous medial plate‐rod osteosynthesis for treatment of humeral shaft fractures in dog and cats: Surgical technique and prospective evaluation. Veterinary Surgery 48.

Kaczmarek J, Bartkowiak T, Schuenemann R, Paczos P, Gapinski B, Bogisch S and Unger M. 2019 .Mechanical performance of a polyaxial locking plate and the influence of screw angulation in a fracture gap model. Veterinary and Comparative Orthopaedics and Traumatology 33(1): 36-44.

Kallianpur N, Singh K, Gopinathan A, Sarangom S B, John C, Sowbharenya Cand Sharma P. 2018. Investigation on relation between factors affecting occurrence and outcome of repair of long bone fractures in 216 dogs. International Journal of Livestock Research 82(2): 225-234.

Klug A, Gramlich Y, Buckup J, Wincheringer D, Hofmann R and Schmidt-Horlohé K. 2018. Excellent results and low complication rate for analonie polyaxial locking plates in comminuted proximal ulna fractures. Journal of Shoulder Elbow Surgery 27(12): 2198-2206.

Langley-Hobbs, S. 2003. Biology and Radiological assessment of fracture healing. In Practice pp. 26-35.

Macri F,Angileri V, RussoT, Russo M T,Tabbi M and Di Pietro S. 2021. Evaluation of bone healing using contrast-enhanced ultrasonography in non-operative treatment of tibial fracture in a puppy dog. Animals 11(2): 284.

Nicholson J A, Makaram N, Simpson A H R W and Keating J F. 2021. Fracture nonunion in long bones: A literature review of risk factors and surgical management. Injury 52: S3-S11.

Nojiri A, Nishido T, Horinaka O, Akiyoshi H, Ohashi F and Yamaguchi T. 2015. Initial clinical application and results of the advanced locking plate system (ALPS) in small animal orthopedics: Two hundred eighty-two procedures. The International Journal of Applied Research in Veterinary Medicine 13(1): 64-79.

Ojus S, Dilipkumar D, Bhagavantappa B, Vijay Kumar M, Sandeep Halmandge, Manjunath Patil and Venkatgiri 2022. Physiological and biochemical analysis of dogs undergoing femoral fracture repair using advanced locking plate system II and locking compression plate. The Pharma Innovation Journal 11(1): 1137-1141.

Perren S M. 2002. Evolution of the internal fixation of long bone fractures: the scientific basis of biological internal fixation: choosing a new balance between stability and biology. Journal of Bone and Joint Surgery 84(8): 1093-1110.

Pooja H S. 2023. ‘Evaluation of modified advanced locking plate system by minimally invasive plate osteosynthesis and open reduction techniques for tibial fracture repair in dogs’. M.V.Sc. Thesis, Karnataka Veterinary, Animal and Fisheries Sciences University, Bidar, Karnataka, India.

Raouf Abd El, Mekkawy M N H M and Aal Abd El A M. 2017. Femur fractures and treatment options in 20 dogs admitted to our clinic from January 2013 to December 2015. Iraqi Journal of Veterinary Science 31(2): 117-122.

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: 330–335.

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

Tepic S, Remiger A R, Morikawa K, Predieri M and Perren S M. 2007. Strength recovery in fractured sheep tibia treated with a plate or an internal fixator: an experimental study with a two-year follow-up. Journal of Orthopaedic Trauma 11(1): 14-23.

Vasseur P B, Johnson A L, Budsberg S C, Lincoln J D,Toombs J P, Whitchair J G and Lentz E L. 1995. Randomized, controlled trials of the efficacy of carprofen, a non-steroidal anti- inflammatory drug in the treatment of osteoarthritis in dog. Journal of The American Veterinary Medical Association 206: 807- 811.

Wangchuk T, Khosa J S, Singh T, Mohindroo J, Sangwan V and Singh O. 2021. Evaluation of pin plate combination for surgical management of comminuted diaphyseal femur fracture in dogs. The Pharma Innovation Journal 10(8):156-160.

Wong, W.T. 1984 .A survey of fractures in the dog and cat in Malaysia. Veterinary Record 115(11):273-274.

Yadav G U, Sarkate L B and Lokhande D U. 2021. Haematological studies in the dogs having long bone fractures treated with plate rod construct. International Journal of Current Microbiology and Applied Sciences 10(4): 787-793.