Erica R Rehnblom, Sean M Murphy, W Wade Won, Jonathan T Suber, Joshua J Arnold
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引用次数: 0
Abstract
Objective: To describe specific methods of plate application and to report outcomes for patients treated with the OrthoLineTM system.
Study design: Retrospective case series.
Animals: A total of 65 dogs, and six cats.
Methods: Medical records of dogs and cats treated with the OrthoLineTM system were reviewed. Cases with <12 weeks follow-up, significant comorbidities, a revision procedure, or those receiving the study implant in combination with another system were excluded. Construct application characteristics (plate span [%], plate span ratio, screw hole density, and plate working length [cm]) were calculated and compared between fracture locations. Patient outcomes included fracture healing, owner assessed outcome (telephone interview) and reported complications from owner interviews and medical records.
Results: A total of 75 fractures in 71 cases were treated with 77 plates. Clinical union was noted in 57/61 fractures (93.4%) at a range of 1.7-19.7 weeks. Owner assessed outcome (n = 51) was graded as full or acceptable for all cases. Major complications included implant failure (n = 1), implant infection (n = 2), and intraoperative malreduction with revision (n = 1). Plate span of radial (46.6%) and ulnar (33.0%) constructs were both lower compared to femoral (73.3%) (p < .001) constructs, and ulnar constructs were also lower compared to tibial (61.7%) constructs (p = .004).
Conclusion: The OrthoLineTM system produced acceptable radiographic healing, complication rates, and owner assessed outcomes. Shorter plate spans in the radius and ulna were well tolerated.
Clinical significance: The OrthoLineTM system is a promising alternative for fracture repair in dogs and cats.
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.