Lawrence I M Kadic, Chin-Chi Liu, Britta S Leise, Charles T McCauley, Laura M Riggs
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引用次数: 0
Abstract
Objective: The aim of the study was to determine if a novel arthrodesis technique for the equine metacarpophalangeal (MCP) joint using a human non-contact bridging (NCB), polyaxial locking compression plate system has biomechanical and potential clinical advantages versus a traditional 5.5 mm stainless steel locking compression plate (LCP) under biomechanical testing.
Study design: An ex vivo biomechanical equine cadaver study.
Sample population: A total of 11 MCP joints collected from adult Thoroughbred horses euthanized unrelated to musculoskeletal disease.
Methods: Each pair of MCP joints were randomly implanted with either an A LCP or NCB plate. Each construct was tested in cyclic loading followed by single cycle to failure in axial compression. Displacement at a target load of 1 kN over 3600 cycles at 1 Hz was recorded prior to single cycle to failure testing.
Results: In cyclic testing, overall displacement recorded in constructs with the NCB plates was less than that of the LCP constructs with a mean (least square mean - LSM) difference of 0.33 mm (p = .03). There was no difference between groups in single cycle testing for yield point (p = .55) and maximum load at failure (p = .95).
Conclusion: While a significant difference was found between constructs during cyclic testing, LCP versus NCB constructs conferred no difference in stability in single cycle to failure testing.
Clinical significance: The increased stability of the NCB plate in cyclic loading, comparable failure strength to the LCP and versatility of polyaxial screws support further investigation for possible clinical use of the NCB plate for equine fetlock arthrodesis.
期刊介绍:
Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations.
It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.