Biomechanical properties of a novel locking compression plate to stabilize oblique tibial osteotomies in buffaloes

OBJECTIVE

Quantitation of mechanical properties of a novel locking compression plate (LCP) for bovine tibia.

STUDY DESIGN

Prospective in vitro study.

SAMPLE POPULATION

Adult Murrah buffalo (250-350 kg) tibiae.

METHODS

Forty tibiae were randomly assigned to five treatment groups (n = 8/group): intact bone and bone constructs with a standard nonlocking plate, single LCP, double LCP, and novel LCP. During implant application, a mid-diaphyseal, oblique osteotomy was performed in all constructs, which were subsequently tested in axial compression (n = 4 each) or three-point craniocaudal bending (n = 4 each). Novel LCP alone (n = 4) was tested only in bending. Stiffness, yield load, ultimate failure load, and bending moment were determined from the load deformation curves and compared among different treatment groups (P < .05).

RESULTS

Under compression, yield load of the novel LCP (24.07 ± 3.45 kN) was greater than that of the nonlocking plate (11.10 ± 2.46 kN) and the single LCP (18.01 ± 2.07 kN) but less than that of the double LCP (30.61 ± 1.95 kN), and ultimate failure load of the novel LCP (25.85 ± 4.32 kN) was greater than that of the nonlocking plate (13.18 ± 2.91 kN) but similar to that of the single LCP (21.17 ± 2.33 kN) and the double LCP (32.40 ± 1.46 kN). Bending moment, yield load, and ultimate failure load of the novel LCP were 565.37 ± 79.30 Nm, 7.90 ± 1.14 kN, 9.83 ± 1.38 kN, respectively, which were greater than those of the nonlocking plate and the single LCP but comparable to those of the double LCP.

CONCLUSION

The novel LCP developed for bovine tibia was mechanically superior to the standard nonlocking plate or the single LCP and comparable to the double LCP.

CLINICAL SIGNIFICANCE

The novel LCP may provide rigid fixation of tibial diaphyseal fractures in buffaloes and cattle weighing 250 to 350 kg.

Tibial fracture repair with angle-stable interlocking nailing in 2 calves

OBJECTIVE

To report tibial fracture repairs with I-Loc angle-stable interlocking nails (AS-ILN) in 2 calves.

STUDY DESIGN

Clinical case reports.

ANIMALS

One 5-day-old Holstein calf and one 3-month-old beefalo calf.

METHODS

In a 50-kg Holstein calf, a proximal juxtametaphyseal comminuted tibial fracture with tibial tuberosity slab fracture was repaired with an 8-160-mm I-Loc nail and 2 cortical lag screws. In an 89-kg beefalo calf, a long oblique middiaphyseal tibial fracture was repaired with an 8-185-mm I-Loc nail and 5 double loop cerclage wires. In each case, an I-Loc AS-ILN was selected because unique biomechanical challenges precluded treatment with traditional osteosynthesis methods, such as external coaptation or plate fixation.

RESULTS

No complications were diagnosed, and clinical union was documented 4 weeks after surgery in both cases. Axial growth continued in both calves, with no evidence of angular limb deformity at 7- and 6-month follow-up.

CONCLUSION

This is the first report describing the use of the I-Loc nail in a bovine species. This application led to uncomplicated healing of tibial fractures and continued growth in both young calves described here.

CLINICAL SIGNIFICANCE

Interlocking nailing may provide an effective and safe alternative for osteosynthesis of tibial fractures in young calves. Insertion of the AS-ILN across the center of the proximal tibial physis of a rapidly growing calf does not seem to alter its growth potential.