COMPARATIVE CLINICAL STUDIES ON MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS AND OPEN PLATING TECHNIQUES FOR REPAIR OF LONG BONE FRACTURE IN DOGS 2925
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Date
2019-07
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JAU, JUNAGADH
Abstract
The aim of this study was to compare open plating and minimally invasive plate
osteosynthesis (MIPO) for repair to long bone fracture in dogs. The present clinical
study was undertaken in twelve dogs having radius-ulna or tibia-fibula fracture. Four
cases of radius-ulna fractures and eight cases of tibia-fibula fractures were equally
divided into two groups (Group I- Open plating and Group II- MIPO) depending upon
merits of the cases. Both the groups included cases with three transverse, two oblique
and a comminuted fractures. Pre and post-operative assessment of animals were done
on the basis of critical clinical examination and radiographic evaluation. Blood samples
were collected from animals prior to surgery and post-operatively for hemato biochemical analysis. Standard medications, anesthetic protocols and surgical
procedures were followed to minimize animal sufferings. The hematological
parameters were found within the normal range before and after the surgery probably
due to supportive therapy and absence of post-operative infection. A non-significant
differences in serum calcium, phosphorus, creatinine kinase and alkaline phosphatase
between the groups suggested similar tissue damage and healing in open plating and
MIPO technique. Intra-operative evaluation of reduction and alignment of fracture
fragments and proper positioning of contoured plate to the bone was technically easier
to perform under C-arm guidance in MIPO technique. Radiographic evaluation,
lameness grading and functional outcome revealed that both the surgical procedure
provided adequate reduction and alignment of fracture ends depended on factors like
type of fractures and duration of fractures. However, MIPO technique provided earlier
weight bearing but also required additional skill as compared to open plating.