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Use of a lateral tibial head buttress plate to repair a tibial fracture in a labrador retriever

McGuinness, K., Doyle, R.S. and Glyde, M.R.ORCID: 0000-0003-1433-7694 (2009) Use of a lateral tibial head buttress plate to repair a tibial fracture in a labrador retriever. Veterinary Record, 164 (10). pp. 300-303.

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A lateral tibial head buttress plate designed for human beings was used to repair a highly comminuted tibial fracture in a two-year-old male labrador retriever caused by a gunshot wound. The plate was placed in a bridging fashion to provide minimal disruption of the fracture site and minimise surgical time.

THE lateral tibial head buttress (LTHB) plate is a tibial plate used in human beings. It has an expanded metaphyseal section to improve the fixation of the tibial plateau. It has also been used to repair supracondylar femoral fractures (Schatzker and Tile 1996) and distal humeral shaft fractures (Levy and others 2005). It is 3·8 mm thick and 14 mm wide. The plate is available with a curved right or left proximal flare with a maximum width of 26 mm. The flared portion of the plate is designed to correspond to the proximal aspect of the human tibia, and contains one oval and three round screw holes so that the plate can be applied in compression. The plate is available with five to 13 shaft holes. Its use in dogs has been reported in the repair of supracondylar and distal femoral fractures (Dueland and VanEnkevort 1995, Glyde and others 2003).

Gunshot injuries can cause extensive bony and soft tissue trauma as a result of crushing and laceration, the generation of shock waves, cavitation, and the formation of secondary missiles consisting of bone fragments. These cause major vascular and soft tissue damage, resulting in long healing times. The fixation of gunshot fractures requires rigid, long-lasting stabilisation. This paper reports the use of an LTHB plate in the repair of a tibial fracture in a dog.

Item Type: Journal Article
Murdoch Affiliation(s): School of Veterinary and Biomedical Sciences
Publisher: British Veterinary Association
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