Paulick L, Knell SC, Smolders LA, Pozzi A, Schmierer PA. Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats.
Vet Surg 2021;
51:191-201. [PMID:
34637153 DOI:
10.1111/vsu.13718]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 08/05/2021] [Accepted: 08/22/2021] [Indexed: 11/27/2022]
Abstract
OBJECTIVE
To determine the biomechanical behavior of different plate systems used for oblique ilial fracture fixation in cats.
STUDY DESIGN
Ex vivo biomechanical study.
SAMPLE POPULATION
Fifty fresh-frozen feline hemipelvises.
METHODS
Standardized simple oblique ilial fractures were created and fixed via lateral plating, using different implant systems (10 fractures in each group) The systems were: (1) the Advanced Locking Plate System (ALPS-5); (2) the Advanced Locking Plate System (ALPS-6.5); (3) the Locking Compression Plate 2.0 (LCP); (4) the FIXIN 1.9-2.5 Series (FIXIN), and (5) the Dynamic Compression Plate 2.0 (DCP). Stepwise sinusoidal cyclic loading was applied until failure (10-mm displacement). The groups were compared with regard to construct stiffness and the number of cycles withstood before 1-, 2-, 5-, and 10-mm displacement.
RESULTS
Bending stiffness was lower in ALPS-5 than in other specimens (P < .05). The ALPS-6.5 specimens withstood more cycles (P < .05) before 2-, 5-, and 10-mm displacement than the ALPS-5 and DCP specimens . The LCP and FIXIN specimens endured more cycles than DCP specimens before displaying 5- and 10-mm displacement (P < .05). The ALPS-6.5, FIXIN, and LCP specimens endured higher loads before failure than the DCP specimens (P < .05). Screw loosening occurred in all nonlocking specimens, and bone slicing occurred in all locking specimens.
CONCLUSION
The DCP and ALPS-5 constructs are less resistant to cyclic loading. Failure in nonlocking specimens involved screw loosening. It involved bone slicing in locking specimens.
CLINICAL SIGNIFICANCE
Both the plate size and the plate-screw interface are key to lateral plating success in cases of feline ilial fractures. The use of locking plates reduces the risk of the screw loosening in such cases.
Collapse