Objective: To determine the incidence of fibular penetration during placement of the Synthes® locking TPLO plate with and without the use of a jig.
Study Design: Cadaveric, experimental study.
Sample Population: Cadaveric paired pelvic limbs (n = 8) from skeletally mature dogs.
Methods: Limbs were assigned to 1 of 2 groups (jig-less-TPLO = no jig used; jig-TPLO = jig used). Synthes® locking TPLO plates were applied using proximal screws of excessive length to facilitate identification of fibular penetration. Screw tip locations were identified by dissection and frequency of fibular penetration was compared between groups.
Results: None of the jig-TPLO limbs and 6 (75%) of jig-less-TPLO limbs had fibular penetration, a difference that was statistically significant. Fibular penetration was most frequently associated with the most proximal screw.
Conclusions: A significantly higher incidence of fibular penetration occurs when Synthes® locking TPLO is performed without use of a jig.
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http://dx.doi.org/10.1111/j.1532-950X.2014.12152.x | DOI Listing |
JSES Rev Rep Tech
August 2024
Division of Orthopedic Surgery, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Fractures of the proximal humerus account for 4%-8% of injuries to the appendicular skeleton. Most are stable, minimally displaced osteoporotic fractures in the elderly, and are the result of low-energy falls. A large majority of these patients regain adequate shoulder function without operative intervention.
View Article and Find Full Text PDFFront Oncol
May 2024
Bone and Soft Tissue Tumor Department, Shantou University Medical College Affiliated Cancer Hospital, Shantou, China.
Background: Alveolar Rhabdomyosarcoma is a profoundly malignant soft-tissue sarcoma that predominantly affects children and adolescents. However, the medical field lacks consensus regarding the optimal surgical approach to be undertaken in cases where this tumor causes local bone destruction in the upper limb.
Case Description: A 17-year-old male presented a mass in his left forearm and CT and MRI indicated that the mass had penetrated the ulnar cortex and infiltrating the medulla, resulting in the formation of an eccentric trans-ventricular tumor focus.
Arch Bone Jt Surg
January 2024
Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Orthop J Sports Med
November 2023
Sports Medicine Center, Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Background: Deltoid ligament reconstruction of the ankle can be considered when the ruptured ligament is insufficient for direct repair.
Purpose: To compare the safety of talar tunnels oriented toward 4 different anatomic landmarks on the lateral malleolus during reconstruction of the deep layer of the deltoid ligament (DDL).
Study Design: Descriptive laboratory study.
Mil Med
November 2023
Department of Surgery, Division of Trauma, Critical Care, Burns, and Emergency Surgery, College of Medicine, University of Arizona, Tucson, Arizona 85724, USA.
Introduction: Prophylactic local antibiotic therapy (LAbT) to prevent infection in open long bone fracture (OLBF) patients has been in use for many decades despite lack of definitive evidence confirming a beneficial effect. We aimed to evaluate the effect of LAbT on outcomes of OLBF patients on a nationwide scale.
Materials And Methods: In this retrospective analysis of 2017-2018 American College of Surgeons-Trauma Quality Improvement Program database, all adult (≥18 years) patients with isolated OLBF (non-extremity-Abbreviated Injury Scale < 3) were included.
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