Treatment of Y-T Humeral Fractures with Polyaxial Locking Plate System (PAX) in 14 Dogs
The aim of this study is to report the results and to review the outcome of 14 cases of Y-T humeral fractures repair using paired polyaxial locking system (PAX) plates through a combined medial and lateral approach. Fourteen consecutive dogs, with traumatic humeral Y-T fractures, met the inclusion c...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Veterinary Sciences |
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| Online Access: | https://www.mdpi.com/2306-7381/9/7/310 |
| _version_ | 1797415049748283392 |
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| author | Filippo Maria Martini Paolo Boschi Filippo Lusetti Chadi Eid Andrea Bonardi |
| author_facet | Filippo Maria Martini Paolo Boschi Filippo Lusetti Chadi Eid Andrea Bonardi |
| author_sort | Filippo Maria Martini |
| collection | DOAJ |
| description | The aim of this study is to report the results and to review the outcome of 14 cases of Y-T humeral fractures repair using paired polyaxial locking system (PAX) plates through a combined medial and lateral approach. Fourteen consecutive dogs, with traumatic humeral Y-T fractures, met the inclusion criteria. This study includes signalment, preoperative radiographs, type of implants, radiographic bone healing assessment, complications, range of motion (ROM) of the elbow and limb function evaluated at 120 days after surgery. Postoperative radiographs revealed adequate anatomic reconstruction, and in all cases, bone healing has been achieved. No implant failure was observed. Functional outcome was excellent in 7 dogs (no lameness and preserved ROM), good in 4 (slight lameness and moderate ROM reduction) and discrete in 2 (mild lameness and severe ROM reduction). Complications were encountered in 2/14 patients with implant-associated infection resolved after long-term antibiotic treatment and implant removal. The PAX system is shown to be a valid alternative for the treatment of Y-T humeral fractures, offering the benefit of polyaxial insertion of locking screws. The possibility of angle locking screws is helpful in the distal humeral bicondylar fractures, providing additional options for screw placement in juxtarticular fractures, avoiding fracture lines or other implants. |
| first_indexed | 2024-03-09T05:43:28Z |
| format | Article |
| id | doaj.art-b63fd1dccd764be4a5edafe5babdc419 |
| institution | Directory Open Access Journal |
| issn | 2306-7381 |
| language | English |
| last_indexed | 2024-03-09T05:43:28Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Veterinary Sciences |
| spelling | doaj.art-b63fd1dccd764be4a5edafe5babdc4192023-12-03T12:23:38ZengMDPI AGVeterinary Sciences2306-73812022-06-019731010.3390/vetsci9070310Treatment of Y-T Humeral Fractures with Polyaxial Locking Plate System (PAX) in 14 DogsFilippo Maria Martini0Paolo Boschi1Filippo Lusetti2Chadi Eid3Andrea Bonardi4Department of Veterinary Science, University of Parma, Via del Taglio 10, 43126 Parma, ItalyOrtovet stp s.r.l., Piazza Alessandrini 2/D, 43036 Fidenza, ItalyOrtovet stp s.r.l., Piazza Alessandrini 2/D, 43036 Fidenza, ItalyOrtovet stp s.r.l., Piazza Alessandrini 2/D, 43036 Fidenza, ItalyOrtovet stp s.r.l., Piazza Alessandrini 2/D, 43036 Fidenza, ItalyThe aim of this study is to report the results and to review the outcome of 14 cases of Y-T humeral fractures repair using paired polyaxial locking system (PAX) plates through a combined medial and lateral approach. Fourteen consecutive dogs, with traumatic humeral Y-T fractures, met the inclusion criteria. This study includes signalment, preoperative radiographs, type of implants, radiographic bone healing assessment, complications, range of motion (ROM) of the elbow and limb function evaluated at 120 days after surgery. Postoperative radiographs revealed adequate anatomic reconstruction, and in all cases, bone healing has been achieved. No implant failure was observed. Functional outcome was excellent in 7 dogs (no lameness and preserved ROM), good in 4 (slight lameness and moderate ROM reduction) and discrete in 2 (mild lameness and severe ROM reduction). Complications were encountered in 2/14 patients with implant-associated infection resolved after long-term antibiotic treatment and implant removal. The PAX system is shown to be a valid alternative for the treatment of Y-T humeral fractures, offering the benefit of polyaxial insertion of locking screws. The possibility of angle locking screws is helpful in the distal humeral bicondylar fractures, providing additional options for screw placement in juxtarticular fractures, avoiding fracture lines or other implants.https://www.mdpi.com/2306-7381/9/7/310polyaxial locking plateinternal fixationbicondylar fracturedoghumerus |
| spellingShingle | Filippo Maria Martini Paolo Boschi Filippo Lusetti Chadi Eid Andrea Bonardi Treatment of Y-T Humeral Fractures with Polyaxial Locking Plate System (PAX) in 14 Dogs Veterinary Sciences polyaxial locking plate internal fixation bicondylar fracture dog humerus |
| title | Treatment of Y-T Humeral Fractures with Polyaxial Locking Plate System (PAX) in 14 Dogs |
| title_full | Treatment of Y-T Humeral Fractures with Polyaxial Locking Plate System (PAX) in 14 Dogs |
| title_fullStr | Treatment of Y-T Humeral Fractures with Polyaxial Locking Plate System (PAX) in 14 Dogs |
| title_full_unstemmed | Treatment of Y-T Humeral Fractures with Polyaxial Locking Plate System (PAX) in 14 Dogs |
| title_short | Treatment of Y-T Humeral Fractures with Polyaxial Locking Plate System (PAX) in 14 Dogs |
| title_sort | treatment of y t humeral fractures with polyaxial locking plate system pax in 14 dogs |
| topic | polyaxial locking plate internal fixation bicondylar fracture dog humerus |
| url | https://www.mdpi.com/2306-7381/9/7/310 |
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