Fracture Healing Biological Plate Osteosynthesis

Fracture Healing Biological Plate Osteosynthesis-7
Iatrogenic soft tissue trauma and disturbance of the fracture environment are limited as implants are applied via small plate insertion incisions made remote to the fracture site [1–7].

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Implant failure was documented 7 days after surgery (c).

The fracture was restabilized via application of an 11-hole, 3.5 mm LCP plate (d).

The objective of this case series was to report our initial clinical results using the MIRIS to facilitate MIPO applications in three dogs with diaphyseal appendicular fractures.

Three dogs were presented for stabilization of long bone fractures (Table 1).

The Minimally Invasive Reduction Instrumentation System (MIRIS) was utilized to facilitate minimally invasive plate osteosynthesis (MIPO) of distal limb diaphyseal comminuted fractures (2 crural, 1 antebrachial) in three dogs.

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The MIRIS facilitated efficient MIPO in all three fractures.

Radial and tibial lengths were restored within 2% of the length of the intact bone and postoperative frontal and sagittal plane angulation were within 3° of the normal contralateral limb for each of the fractures.

Premedication consisted of intravenous dexmedetomidine (3–5 μg/kg) and methadone (0.1 mg/kg); induction was performed with propofol (4–6 mg/kg).

Dogs were maintained with inhalant (isoflurane 1.5–2%).

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