MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS (MIPO) FOR RADIUS AND TIBIA FRACTURE STABILISATION USING LIMITED CONTACT DYNAMIC COMPRESSION PLATE IN DOGS

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Date
2017-03
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SRI VENKATESWARA VETERINARY UNIVERSITY TIRUPATI - 517 502. (A.P.) INDIA
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ABSTRACT : The present study was conducted on six clinical cases with diaphyseal fractures of radius and tibia presented to the Dept. of Veterinary Surgery and Radiology, NTR College of Veterinary Science, Gannavaram. All the animals were subjected to thorough clinical and orthopaedic examination. Mediolateral and craniocaudal radiographs of the fractured bone and the contralateral limb taken were useful in confirmatory diagnosis, classification of fracture, selection of implants and pre-contouring of plates. The fractures were temporarily stabilised with MRJ till the day of surgery. All the fractures were stabilized with LC-DCP using self-tapping cortical screws. A craniomedial approach was used for radius fractures and medial approach was used for tibia fractures. Following fracture stabilization with LC-DCP post-operative clinical, radiographic and serum biochemical evaluation was carried out on the immediate post-operative, 15th, 30th and 60th POD s. Out of the 6 cases, Case no. 6 started weight bearing on the 2nd POD, Case no. 3 started weight bearing on the 3rd POD, Case no. 1 on the 5th POD and Case no’s. 4 and 5 by the 10th POD. The dogs showed completely normal gait by the 30th POD. Radiographic union was observed by the 30th POD in two cases and by 60th POD in the remaining four cases. Primary healing was observed in five cases whereas one healed by secondary healing. No complications were noticed in any case except malposition of plate in one case. Limb usage was evaluated on the 60th POD and graded as excellent in five cases and fair in one case. Serum values of calcium, phosphorus and alkaline phosphatase were in the normal range during the study period and showed nonsignificant difference between various intervals.
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