Bone alignment after minimally invasive plate osteosynthesis of the tibia in dogs

Costa Junior, Jose Sergio; Dreibi, Rafael Manzini; Franco, Guilherme Galhardo; Dias, Luis Gustavo Gosuen Gonçalves; Giuffrida, Rogerio; Minto, Bruno Watanabe

doi:10.1590/0103-8478cr20200650

Acessibilidade / Reportar erro

Brasil
SciELO.org - Rede SciELO
Blog SciELO em Perspectiva

Abrir menu

Brasil

Español English

Ciência Rural

Submissão de manuscritos
Sobre o periódico
Corpo Editorial
Instruções aos autores
Contato

sumário « anterior atual seguinte »

Resumo (Inglês)
Resumo (Português)

Texto (Inglês)

Download PDF (Inglês)

Compartilhe

Compartilhe
E-mail
Facebook
Twitter
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley

Sumário

Compartilhe
E-mail
Facebook
Twitter
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley

Resumo (Inglês)
Resumo (Português)

Texto (Inglês)

Download PDF (Inglês)

CLINIC AND SURGERY • Cienc. Rural 51 (9) • 2021 • https://doi.org/10.1590/0103-8478cr20200650 copy

Bone alignment after minimally invasive plate osteosynthesis of the tibia in dogs

Avaliação do alinhamento ósseo após osteossíntese minimamente invasiva com placa de tíbia em cães

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT:

This study assessed radiographically changes in tibial alignment in the frontal and sagittal planes in dogs that underwent minimally invasive plate osteosynthesis (MIPO) without the aid of image intensifiers. Radiographs of dogs with complete non-articular tibial fractures submitted to MIPO were included and evaluated, without the aid of a transoperative image intensifier and / or an association of implants. The tibial mechanical angles (mMPTA, mMDTA, mCaPTA and mCrDTA) were measured by three evaluators. The data obtained were compared with results from previously published studies. Twenty-seven animals were included in the study. The mean and standard deviation of the angular changes were as follows: mMPTA, 2.54° ± 3.10 (-1.1º to 8.7º); mMDTA, 0.03º ± 0.16 (-3.44º to 0.79º); mCaPTA, 37º ± 4.29 (-6.23º to 14.87º); and mCrDTA, 8.25° ± 5.53 (-0.2º to 17.28º). There was a negative correlation between “mCaPTA” and “mCrDTA”. MIPO of the tibia without using image intensifiers and implant association can potentially cause angular changes, which can lead to clinically relevant deformities after bone healing.

Key words:
angular deformities; mechanical axis; MIPO; fracture

Authorship

Jose Sergio Costa Junior^*E-mail: jose.scj@hotmail.com. *Corresponding author

Departamento de Clínica e Cirurgia Veterinária, Faculdade de Ciências Agrárias e Veterinárias (FCAV), Universidade Estadual Paulista (UNESP), 14884-900, Jaboticabal, SP, Brasil.Universidade Estadual Paulista (UNESP)BrazilJaboticabal, SP, BrazilDepartamento de Clínica e Cirurgia Veterinária, Faculdade de Ciências Agrárias e Veterinárias (FCAV), Universidade Estadual Paulista (UNESP), 14884-900, Jaboticabal, SP, Brasil.

https://orcid.org/0000-0002-4725-5962

Rafael Manzini Dreibi

https://orcid.org/0000-0002-7705-6075

Guilherme Galhardo Franco

Departamento de Medicina Veterinária, Centro de Ciências e Engenharia Agronômica, Universidade Federal do Espírito Santo (UFES), Alegre, ES, Brasil. Universidade Federal do Espírito Santo (UFES)BrazilAlegre, ES, BrazilDepartamento de Medicina Veterinária, Centro de Ciências e Engenharia Agronômica, Universidade Federal do Espírito Santo (UFES), Alegre, ES, Brasil.

https://orcid.org/0000-0001-9945-3453

Luis Gustavo Gosuen Gonçalves Dias

https://orcid.org/0000-0003-3993-1649

Rogerio Giuffrida

Departamento de Pós-graduação em Ciência Animal, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente, SP, Brasil.Universidade do Oeste Paulista (UNOESTE)BrazilPresidente Prudente, SP, BrazilDepartamento de Pós-graduação em Ciência Animal, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente, SP, Brasil.

https://orcid.org/0000-0002-2380-4349

Bruno Watanabe Minto

https://orcid.org/0000-0002-8808-4127

E-mail: jose.scj@hotmail.com. ^*Corresponding author

DECLARATION OF CONFLICT OF INTEREST

The authors declare no conflict of interest. The founding sponsors had no role in the design of the study; in the collection, analysis, or interpretation of data; in the writing of the manuscript, and in the decision to publish the results.

AUTHORS’ CONTRIBUTIONS

All authors contributed to the development of this research.

SCIMAGO INSTITUTIONS RANKINGS

Figures | Tables

Figures (1)
Tables (2)

Thumbnail

Figure 1
Medium-lateral radiography (A-B) of dog 11 after measuring the mechanical axis in the sagittal plane. A) By establishing the tibial proximal reference lines, measuring the mCaPTA angle (56.7°) and comparing it with the normal limit (63°), a deviation of -6.2º was obtained. B) After establishing the distal tibial reference lines, measuring the mCrDTA angle (97.2º), and comparing it with the normal limit (82.3º), a 14.9º deviation was obtained. C) Craniocaudal radiography 16. After establishing the tibial proximal reference lines and comparing them with the normal value, a deviation of 8.7º was obtained.

Thumbnail

Table 1
Summary data of 27 dogs with tibial fractures repaired with minimally invasive plate osteosynthesis.

Thumbnail

Table 2
Summary data of angular deviations in 27 dogs with tibial fractures repaired with minimally invasive plate osteosynthesis (MIPO).

Figure 1 Medium-lateral radiography (A-B) of dog 11 after measuring the mechanical axis in the sagittal plane. A) By establishing the tibial proximal reference lines, measuring the mCaPTA angle (56.7°) and comparing it with the normal limit (63°), a deviation of -6.2º was obtained. B) After establishing the distal tibial reference lines, measuring the mCrDTA angle (97.2º), and comparing it with the normal limit (82.3º), a 14.9º deviation was obtained. C) Craniocaudal radiography 16. After establishing the tibial proximal reference lines and comparing them with the normal value, a deviation of 8.7º was obtained.

Table 1 Summary data of 27 dogs with tibial fractures repaired with minimally invasive plate osteosynthesis.

Animals	SD	FI%	PBR%	PE	WLP%	mMPTA mean ± standard deviation	mMDTA mean ± standard deviation	mCaPTA mean ± standard deviation	mCrDTA mean ± standard deviation
1	0.55	29.35	94.53	3.22	49.49	94.11±1.19	94.25±4.60	61.23±6.28	88.94±1.65
2	0.42	17.25	96.26	5.58	59.31	96.07±1.20	92.34±3.27	65.36±1.54	90.71±1.25
3	0.5	35.26	79.52	2.25	47.67	91.18±0.85	95.96±2.75	74.05±8.47	82.02±7.71
4	0.4	6.26	70.45	11.25	48.7	99.03±1.26	94.76±4.98	72.33±8.74	89.85±1.15
5	0.5	30.24	85.21	2.81	51.19	98.58±0.94	92.21±3.03	60.17±3.36	92.48±4.24
6	0.66	20.64	74.93	3.63	51.65	90.5±5.96	94.76±7.58	68.98±7.15	92.3±2.14
7	0.44	36.35	84.98	2.33	53.82	95.75±0.91	92.67±6.19	65.05±4.09	93.58±3.13
8	0.45	26.93	92.59	3.43	60.75	98.14±1.93	95.55±6.15	74.24±5.38	97.13±2.08
9	0.4	20.6	70.02	3.39	45.62	98.23±1.42	100.57±6.10	61.43±7.99	88.46±5.03
10	0.5	21.01	77.09	3.66	45.47	104.62±2.92	91.38±5.75	79.07±13.17	90.43±2.79
11	0.41	31.57	94.64	2.99	61.77	91.43±1.10	95.42±2.74	56.77±6.69	97.2±3.11
12	0.4	27.27	79.33	2.9	52	96.42±1.32	87.15±2.87	69.52±3.19	88.87±5.90
13	0.41	8.17	79.11	9.72	48.52	97.35±1.19	93.63±5.98	65.26±10.28	91.5±4.53
14	0.41	13.07	76.96	5.88	48.8	91.97±1.85	90.12±1.61	73.23±8.48	80.8±7.23
15	0.5	9.78	58.09	5.9	34.19	97.11±0.75	96.66±5.65	64.64±6.41	88.27±3.64
16	0.57	31.6	85.82	2.7	31.68	105.56±2.01	88.75±2.14	75.78±11.14	87.9±1.46
17	0.44	28.99	86.6	3.01	44.02	98.02±1.39	95.5±3.04	65.85±10.85	90.34±3.70
18	0.41	30.35	98.08	3.23	60.59	95.08±1.56	95.92±2.22	75.91±8.42	84.95±2.31
19	0.36	30.25	87.4	2.88	59.68	92.65±1.08	92.46±3.17	67.45±6.40	87.26±4.50
20	0.41	21.9	89.17	4.07	59.98	94.55±1.05	94.37±4.15	70.08±6.63	86.63±4.68
21	0.36	31.72	77.95	2.45	54.6	95.07±0.86	89.8±5.47	66.2±7.29	87.1±3.15
22	0.55	12.7	74.46	5.85	41.21	90.56±1.91	95.37±4.10	66.63±19.13	84.78±2.10
23	0.45	16.92	87.8	5.1	55.31	92.56±0.92	96.12±4.54	66.5±4.30	89.96±1.25
24	0.41	27.6	72.13	2.61	46.22	88.64±9.51	92.01±5.63	66.52±7.35	90.38±4.33
25	0.41	32.04	88.69	2.76	54.98	94.45±0.79	94.76±3.93	62.4±2.73	99.58±5.61
26	0.41	24.74	93.95	3.79	57.93	94.37±0.93	93.13±2.42	67.98±4.64	96.45±2.08
27	0.44	18.35	82.02	4.46	52.46	101.04±1.16	90.11±1.66	59.94±5.09	95.83±2.68

Abbreviations: SD, screw density; FI, fracture interval; PBR, plate-bridging ratio; PE, plate extension; WLP, work length of the plate; mMPTA, mechanical medial proximal tibial angle; mMDTA, mechanical medial distal tibial angle; mCaPTA, mechanical caudal proximal tibial angle; mCrDA- mechanical cranial distal angle of the tibia.

Table 2 Summary data of angular deviations in 27 dogs with tibial fractures repaired with minimally invasive plate osteosynthesis (MIPO).

Animals	Fracture location	Fracture classification	Physeal plate	mMPTA	mMDTA	mCaPTA	mCrDTA	TPA
1	MTS	SO	closed	NC	NC	-1.77º	6.64º	28.77º
2	metaphysis	comminuted	closed	NC	NC	1.16º	8.41º	24.64º
3	MTS	LO	open	NC	NC	9.85º	NC	15.5º
4	MTS	transversal	open	2.17º	NC	8.13º	7.55º	17.67º
5	MTS	LO	closed	1.72º	NC	-2.83º	10.18º	29.83º
6	MTS	comminuted	closed	NC	NC	4.78º	10º	21.02º
7	PTS	LO	open	NC	NC	1.3º	11.28º	24.95º
8	MTS	LO	open	1.28º	NC	10.04º	14.83º	15.76º
9	PTS	LO	open	1.37º	NC	-1.57º	7.46º	28.57º
10	PTS	SO	open	7.76º	NC	14.87º	8.13º	10.93º
11	MTS	LO	closed	NC	NC	-6.23º	14.9º	33.23º
12	MTS	LO	open	NC	-3.44º	5.32º	6.57º	20.48º
13	MTS	transversal	closed	0.49º	NC	1.06º	9.2º	24.74º
14	metaphysis	comminuted	closed	NC	-0.47º	9.03º	-0.2º	16.77º
15	PTS	transversal	open	0.25º	NC	0.44º	5.97º	25.36º
16	PTS	LO	open	8.7º	-1.84º	11.58º	5.6º	14.22º
17	MTS	LO	open	1.16º	NC	1.65º	8.04º	24.15º
18	DTS	SO	closed	NC	NC	11.71º	2.65º	14.09º
19	DTS	LO	closed	NC	NC	3.25º	4.96º	22.55º
20	PTS	LO	open	NC	NC	5.88º	4.33º	19.92º
21	MTS	LO	open	NC	0.79º	2º	4.8º	23.8º
22	DTS	SO	closed	NC	NC	2.43º	2.48º	23.37º
23	TMD	comminuted	closed	NC	NC	2.3º	7.66º	23.5º
24	PTS	LO	open	-1.1º	NC	2.32º	8.08º	23.48º
25	DTS	comminuted	closed	NC	NC	-0.6º	17.28º	27.6º
26	metaphysis	LO	closed	NC	NC	3.78º	14.15º	22.02º
27	MTS	LO	open	4.18º	-0.48º	-3.06º	13.53º	30.06º

Abbreviations: mMPTA, mechanical medial proximal tibial angle ; mMDTA, mechanical medial distal tibial angle; mCaPTA, mechanical caudal proximal tibial angle; mCrDA- mechanical cranial distal angle of the tibia ; TPA, plateau tibial angle; NC, not changed; PTS, proximal third of the shaft; MTS, middle third of the shaft; DTS, distal third of the shaft; SO, short oblique; LO, long oblique.

How to cite

copy

Universidade Federal de Santa Maria Universidade Federal de Santa Maria, Centro de Ciências Rurais , 97105-900 Santa Maria RS Brazil , Tel.: +55 55 3220-8698 , Fax: +55 55 3220-8695 - Santa Maria - RS - Brazil
E-mail: cienciarural@mail.ufsm.br

Acompanhe os números deste periódico no seu leitor de RSS

Versão para download de PDF

PDF

Inglês

Versões e tradução automática

Versão original do texto

English

Tradução automática

Google Translator
Microsoft Translator

Como citar

RIS

BIBTEX

Outros formatos de citação e exportação:

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
E-mail: scielo@scielo.org

Leia a Declaração de Acesso Aberto

Métricas

Bone alignment after minimally invasive plate osteosynthesis of the tibia in dogs

PlumX

Mensagem

[1] E-mail: jose.scj@hotmail.com. ^*Corresponding author