Tibia Flashcards
Miles VCOT 2020
Prospective rads of tibia
distal anatomical axis landmarks should be restricted to distal half ot tibia
Zide VCOT 2020
biomechanical
tibial tuberosity osteotomy
pin & TBW
vertically aligned pins vs horizontally did not affect construct sitregnth
TBW sig increases strength of construct
Hawbecker VCOT 2023
cadaveric
k wire insertion angle following tibial tuberosity osteotomy
transversely or caudodistal wrt osteotomy
transversely was biomechanically superior
Welsh VS 2023
biomechanical
1 larger pin vs 2 smaller pins for tibial tuberosity avulsion model
2 vertically aligned pins rather than single pin stronger and stiffer
Verpaalen VCOT 2021
biomechanical
hybrid esf, paired interfragmentary k wire, pin +TBW for tibial tuberosity avulsion model
hybrid ESF superior biomechanical properties and may be an option for dogs with remaining grwoth potential
Gallaher VS 2019
randomised controlled
tibial osteotomies performed then divided into
-no carprofen, carprofen for 2w and carprofen for 8w
long term carprofen had negative effect on bone healing
NSAIDs used in caution in dogs at risk of delayed bone healing
Miraldo VCOT 2020
retrospective
modified cross-pin for distal tibial physeal fractures in 9 cats
2nd medial and craniolateral k wire added to traditional cross pins
all uncomplicated healing
Arun VCOT 2022
retrospective
non-electivev explant of surgical repair of tibial tuberosity avulsion fractures in 63 dogs
nonelective explan performed in 30% (not due to infection)
neutered dogs 19x mroe likely to require explant
every 0.25mm increase in pin size was 2.5x more likely to require explant
Miller JAVMA 2023
retrospective
tibial tuberosity avulsion fracture implants left in situ past maturity
6% major comp requiring rv
93% owner satisfaction
no diff in long term outcome vs reports where implants were removed - thus implants not needed to be removed unless clinically needed
Sherman VS 2023
retrospective
non articular tibial fractures
Linear ESF in 49 dogs and 6 cats
7% major comp (open # more likely)
all radiographic union
von Pfeil VCOT 2021
retrospective
fluro tibial apophyseal percutaneous pinning in 25 immature dogs
no major comp
divergent pins (2 horizontal) and using negatively threaded might reduce comp
excellent long term outcome
Winter JSAP 2022
retrospective
proximal metaphyseal curvilinear tibial fractures
50% surgical comps (valgus, excessive TPA, screw penetrating physis or tibial tuberosity, fibular head)
28% major comps (bandage, eTPA requiring CCWO, valgus, SSI, implant failure)
88% full fx
Adams VS 2024
prospective
3 TP #
lag screws, k wire, tension band repair is feasible and reduces risk of meniscal injury
