Publikationsdatenbank

Surgical management of comminuted fractures of the proximal Phalannx using a biological bridge plating technique with an LCP femoral plate (2021)

Art

Vortrag

Autoren

Farfan, M.

Lischer, C. (WE 17)

Watkins, J.

Rossignol, F.

Kongress

30th ECVS Annual Scientific Meeting

online, 08. – 10.07.2021

Quelle

Veterinary surgery : the official journal of the American College of Veterinary Surgeons and the European College of Veterinary Surgeon

Seiten: 11

ISSN: 1532-950x

Sprache

Englisch

Verweise

URL (Volltext): https://onlinelibrary.wiley.com/doi/10.1111/vsu.13672

DOI: 10.1111/vsu.13672

Kontakt

Pferdeklinik

Oertzenweg 19 b
14163 Berlin
+49 30 838 62299 / 62300
pferdeklinik@vetmed.fu-berlin.de

Abstract / Zusammenfassung

Objectives:
Currently the recommended treatment for P1 comminuted fractures is the transfixation cast. The prognosis for survival is guarded and heavy complications are common. Biological bridge plating has been developed in human and small animal fracture repair: the complex fracture zone is virtually left untouched and is bridged by the plate. The objective was to demonstrate the usefulness of a human distal femoral locking com-pression plate (LCP DFP) for combined metacarpophalangeal and proximal interphalangeal arthrodesis to treat P1 comminuted fractures in horses.

Methods:
Surgical procedure was assessed ex vivo on6 cadaver legs. Then the whole procedure, combined witha minimally invasive cartilage removal technique was applied on 9 horses (February 2018- September 2020). After contouring, a 9 to 11-hole LCP DFP (DePuySynthes-DPS), was tunneled under the digital extensor tendon and fixed by strategically positioning a combination of locking head screws and cortex screws via stabincisions.

Results:
Of 9 horses that had a combined arthrodesis, 5 healed and were sound for breeding purposes or pas-ture activity 5 to 8 months post-operatively, 4 horses were euthanatized (one for colic during the short post-operative period, two others for surgical wound infection,one for implant failure and contralateral laminitis). Two horses presented mild and long-term postoperative com-plications (one had cutaneous infection and mild contra-lateral laminitis; another had broken screws and stayedcasted for a longer period).

Conclusions:
Biological bridge plating using the human LCP DFP constitutes a useful alternative to the transfixation cast for surgical management of highly comminuted P1 fractures.