Comparison of limited-contact dynamic compression plate and locking compression plate constructs for proximal interphalangeal joint arthrodesis in the horse.
Abstract: This study compared in vitro monotonic and cyclic mechanical properties of equine proximal interphalangeal joint arthrodeses stabilized using an open or closed technique combined with axial 4.5 mm narrow limited-contact dynamic compression plate (LC-DCP) or 4.5 mm narrow locking compression plate (LCP). Ten forelimb pairs were randomly assigned to LCP or LC-DCP groups. One limb in each pair was assigned to either open or closed technique. Limbs were tested for cyclic fatigue at 20 000 cycles and then single-cycle to failure under 3-point dorsopalmar bending. There was no significant difference in stiffness of constructs during cyclic fatigue testing or on force or stiffness at failure in single cycle to failure testing between open and closed techniques or between plate types. Both implants, surgical technique, or combinations thereof are suitable for clinical use. More work is necessary to define the interaction between implant type and surgical technique. Comparaison des constructions de plaques de compression dynamique à contact limité et de plaques de compression à verrouillage pour l’arthrodèse de l’articulation interphalangienne proximale chez les chevaux. Cette étude a comparé les propriétés mécaniques monotoniques et cycliques in vitro des arthrodèses interphalangiennes proximales équines stabilisées à l’aide d’une technique ouverte ou fermée combinée à une plaque de compression dynamique axiale étroite à contact limité de 4,5 mm (LC-DCP) ou à une plaque de compression étroite à verrouillage de 4,5 mm (LCP). Dix paires de pattes avant ont été assignées au hasard à des groupes LCP ou LC-DCP. Une patte de chaque paire était assignée soit à la technique ouverte ou fermée. Les pattes ont été évaluées pour la fatigue cyclique à 20 000 cycles, puis à un cycle unique jusqu’à l’échec à l’aide d’une flexion dorsopalmaire à 3 points. Il n’y avait pas de différence significative dans la rigidité des constructions durant l’évaluation de fatigue cyclique ou sur la force ou la rigidité à l’échec durant l’évaluation dans un cycle unique jusqu’à l’échec entre les techniques ouvertes et fermées ou entre les types de plaques. Les deux implants, techniques chirurgicales ou une combinaison des deux sont appropriés à l’usage clinique. Il est nécessaire d’effectuer des recherches additionnelles pour définir l’interaction entre le type d’implant et la technique chirurgicale.(Traduit par Isabelle Vallières).
Publication Date: 2015-06-02 PubMed ID: 26028685PubMed Central: PMC4431161
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research compares two techniques for stabilizing horse limb joints using different types of plates, finding no significant difference between the methods. The implications for horse surgery are explored further in the paper.
Research Objective
This research study aimed to compare limited-contact dynamic compression plates (LC-DCP) and locking compression plates (LCP) for horse limb joint stabilization. Two surgical techniques, open and closed methods, were tested in vitro using pairs of equine forelimbs. The study wanted to measure the monotonic and cyclic mechanical properties of equine proximal interphalangeal joint arthrodeses – surgical fixation of the joint.
Methodology
- 20 limbs (10 pairs) were divided randomly into two groups, assigned to LC-DCP and LCP plates.
- Within each pair, one limb was assigned the open surgical technique and the other the closed technique.
- Limb pairs were put through cycles of strain to simulate conditions after surgery, specifically 3-point bending.
- Cyclic fatigue was tested at 20,000 cycles, and then a single-cycle was run to the point of breaking.
Results
- Stiffness of constructs during cyclic fatigue testing found no significant difference between open and closed techniques or types of plates (LC-DCP vs LCP).
- No significant difference on force or stiffness at failure point in the single-cycle test between techniques or plate types.
Conclusions
- The results indicate that both types of plates (L-DCP and LCP) and surgical techniques (open and closed) are suitable for clinical use in equine medicine.
- It was noted that further research is needed to understand the interaction between the choice of implant and surgical technique better.
Cite This Article
APA
Rocconi RA, Carmalt JL, Sampson SN, Elder SH, Gilbert EE.
(2015).
Comparison of limited-contact dynamic compression plate and locking compression plate constructs for proximal interphalangeal joint arthrodesis in the horse.
Can Vet J, 56(6), 615-619.
Publication
Researcher Affiliations
- Department of Veterinary Clinical Sciences (Rocconi, Sampson), College of Veterinary Medicine, and the Department of Agricultural and Biological Engineering (Elder, Gilbert), College of Agriculture and Life Sciences, Mississippi State University, Mississippi State, Mississippi 39762, USA; Department of Large Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4 (Carmalt).
- Department of Veterinary Clinical Sciences (Rocconi, Sampson), College of Veterinary Medicine, and the Department of Agricultural and Biological Engineering (Elder, Gilbert), College of Agriculture and Life Sciences, Mississippi State University, Mississippi State, Mississippi 39762, USA; Department of Large Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4 (Carmalt).
- Department of Veterinary Clinical Sciences (Rocconi, Sampson), College of Veterinary Medicine, and the Department of Agricultural and Biological Engineering (Elder, Gilbert), College of Agriculture and Life Sciences, Mississippi State University, Mississippi State, Mississippi 39762, USA; Department of Large Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4 (Carmalt).
- Department of Veterinary Clinical Sciences (Rocconi, Sampson), College of Veterinary Medicine, and the Department of Agricultural and Biological Engineering (Elder, Gilbert), College of Agriculture and Life Sciences, Mississippi State University, Mississippi State, Mississippi 39762, USA; Department of Large Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4 (Carmalt).
- Department of Veterinary Clinical Sciences (Rocconi, Sampson), College of Veterinary Medicine, and the Department of Agricultural and Biological Engineering (Elder, Gilbert), College of Agriculture and Life Sciences, Mississippi State University, Mississippi State, Mississippi 39762, USA; Department of Large Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4 (Carmalt).
MeSH Terms
- Animals
- Arthrodesis / instrumentation
- Arthrodesis / veterinary
- Bone Plates / veterinary
- Cadaver
- Female
- Forelimb / surgery
- Horses
- Joints / surgery
- Male
References
This article includes 24 references
- Schaer TP, Bramlage LR, Embertson RM, Hance S. Proximal inter-phalangeal arthrodesis in 22 horses.. Equine Vet J 2001;33:360–365.
- Lischer CJ, Auer JA. Arthrodesis techniques.. In: Auer JA, Stick JA, editors. Equine Surgery. 4th ed. St. Louis, Missouri: Elsevier; 2012. pp. 1130–1147.
- MacLellan KNM, Crawford WH, MacDonald DG. Proximal interphalangeal joint arthrodesis in 34 horses using two parallel 5.5 mm cortical bone screws.. Vet Surg 2001;30:454–459.
- Auer JA. Proximal interphalangeal arthrodesis: Screw fixation.. In: Fackelman GE, Auer JA, Nunamaker DM, editors. AO Principles of Equine Osteosynthesis. New York, New York: Thieme; 2000. pp. 220–239.
- Nixon AJ. Phalanges and the metacarpophalangeal and metatarsophalangeal joints.. In: Auer JA, Stick JA, editors. Equine Surgery. 4th ed. St. Louis, Missouri: Elsevier; 2012. pp. 1300–1324.
- Watkins JP. Fractures of the middle phalanx.. In: Nixon AJ, editor. Equine Fracture Repair. Philadelphia, Pennsylvania: WB Saunders; 1996. pp. 129–145.
- Galuppo LD, Stover SM, Willits NH. A biomechanical comparison of double-plate and Y-plate fixation for comminuted equine second phalangeal fractures.. Vet Surg 2000;29:152–162.
- Watt BC, Edwards RB, III, Markel MD, McCabe R, Wilson DG. Arthrodesis of the equine proximal interphalangeal joint: A biomechanical comparison of two 7-hole 3.5 mm broad and two 5-hole 4.5 mm narrow dynamic compression plates.. Vet Surg 2002;31:85–93.
- Watt BC, Edwards RB, III, Markel MD, McCabe R, Wilson DG. Arthrodesis of the equine proximal interphalangeal joint: A biomechanical comparison of three 4.5 mm and two 5.5 mm cortical screws.. Vet Surg 2001;30:287–294.
- Read EK, Chandler D, Wilson DG. Arthrodesis of the equine proximal interphalangeal joint: A mechanical comparison of 2 parallel 5.5 mm cortical screws and 3 parallel 5.5 mm cortical screws.. Vet Surg 2005;34:142–147.
- Sod GA, Mitchell CF, Hubert JD, Martin GS, Gill MS. In vitro biomechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: Prototype equine spoon plate versus axially positioned dynamic compression plate and two abaxial transarticular cortical screws inserted in lag.. Vet Surg 2007;36:792–799.
- Ahern BJ, Showalter BL, Elliott DM, Richardson DW, Getman LM. In vitro biomechanical comparison of a 4.5 mm narrow locking compression plate construct versus a 4.5 mm limited contact dynamic compression plate construct for arthrodesis of the equine proximal interphalangeal joint.. Vet Surg 2013:42–339.
- Sod GA, Riggs LM, Mitchell CF, Hubert JD, Martin GS. An in vitro biomechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: An axial positioned dynamic compression plate and two abaxial transarticular cortical screws inserted in lag fashion versus three parallel transarticular cortical screws inserted in lag fashion.. Vet Surg 2010;39:83–90.
- Wolker RE, Carmalt JL, Wilson DG. Arthrodesis of the equine proximal interphalangeal joint: A biomechanical comparison of two parallel headless, tapered, variable pitched, titanium compression screws and two parallel 5.5 mm stainless steel cortical screws.. Vet Surg 2009;38:861–867.
- Watts AE, Fortier LA, Nixon AJ, Ducharme NG. A technique for laser-facilitated equine pastern arthrodesis using parallel screws inserted in lag fashion.. Vet Surg 2010;39:244–253.
- Bras JJ, Lillich JD, Beard WL. Effect of a collateral ligament sparing surgical approach on mechanical properties of equine proximal interphalangeal joint arthrodesis constructs.. Vet Surg 2011;40:13–81.
- Carmalt JL, Delaney L, Wilson DG. Arthrodesis of the proximal interphalangeal joint in the horse: A cyclic biomechanical comparison of two and three parallel cortical screws inserted in lag fashion.. Vet Surg 2010;39:91–94.
- Zoppa AL, Santoni B, Puttlitz CM, Cochran K, Hendrickson DA. Arthrodesis of the equine proximal interphalangeal joint: A biomechanical comparison of 3-hole 4.5 mm locking compression plate and 3-hole 4.5 mm narrow dynamic compression plate, with two transarticular 5.5 mm cortex screws.. Vet Surg 2011;40:253–259.
- Sod GA, Riggs LM, Mitchell CF, Martin GS. A mechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: An axial locking compression plate and two transarticular cortical screws versus an axial dynamic compression plate and two abaxial transarticular cortical screws.. Vet Surg 2011;40:571–578.
- Gudehus T, Sod GA, Riggs LM, Mitchell CF, Martin GS. An in vitro biomechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: Two parallel transarticular headless tapered variable pitch screws versus two parallel transarticular AO cortical bone screws inserted in lag fashion.. Vet Surg 2011;40:261–265.
- Knox PM, Watkins JP. Proximal interphalangeal joint arthrodesis using a combination plate-screw technique in 53 horses (1994–2003). Equine Vet J 2006;38:538–542.
- Florin M, Arzdorf M, Linke B, Auer JA. Assessment of stiffness and strength of 4 different implants available for equine fracture treatment: A study on a 20° oblique long-bone fracture model using a bone substitute.. Vet Surg 2005;34:231–238.
- Lescun TB. Minimally invasive pastern arthrodesis in the horse.. Proc Annu Meet Am Coll Vet Surg San Diego, California. 2008. pp. 50–53.
- Jones P, Delco M, Beard W, Lillich JD, Desormaux A. A limited surgical approach for pastern arthrodesis in horses with severe osteoarthritis.. Vet Comp OrthopTraumatol 2009;22:303–308.
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