Temporary Transarticular Immobilization of the Stifle Joint Using a Locking Plate.
Ida Forzisi1, Alessio Raschi2, Aldo Vezzoni1
1Clinica Veterinaria Vezzoni, Surgical Department, Cremona, Italy.
Summary
This study shows that a temporary transarticular locking plate effectively immobilizes the stifle joint in dogs and cats, with a low complication rate. Further development of specialized implants is recommended to minimize plate failure risks.
Area of Science:
- Veterinary Surgery
- Orthopedics
Background:
- Temporary immobilization of the stifle joint is crucial for managing certain orthopedic injuries in small animals.
- Existing methods may have limitations in providing stable, temporary fixation.
Purpose of the Study:
- To describe the surgical technique for temporary transarticular stifle joint immobilization using a locking plate.
- To evaluate the complications and outcomes associated with this technique in dogs and cats.
Main Methods:
- Retrospective evaluation of medical records (August 2018 - January 2024) from two institutions.
- Analysis of 16 stifle joints in 14 patients (dogs and cats) undergoing transarticular locking plate immobilization.
- Surgical technique involved contouring a locking plate to the medial femur and tibia, with fixation at a 135-145 degree angle.
Main Results:
- No intraoperative complications were observed in 16 procedures.
- One major complication (plate breakage) occurred in a Galgo Espanol with concurrent patellar fracture and ligament lesion.
- Four minor complications were recorded.
- Implants were removed at a mean of 55.86 ± 18.05 days postoperatively.
Conclusions:
- Transarticular locking plate application appears effective for temporary stifle immobilization in veterinary patients.
- The technique demonstrates a low morbidity and complication rate.
- Development of dedicated implants is suggested to reduce the risk of plate failure.
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