Interlocking Nails and Minimally Invasive Osteosynthesis

Déjardin, Loïc M.; Perry, Karen L; Pfeil, Dirsko J F von; Guiot, Laurent P.

doi:10.1016/j.cvsm.2019.09.003

Cited by 19 publications

(24 citation statements)

References 38 publications

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“…Bridging implants are applied via small proximal and distal incisions. In this context, locking implants have potential biological and mechanical advantages and include various locking plate systems and interlocking nails . Most veterinary reports of MIPO have focused on antebrachial and crural fractures, with outcomes at least equivalent to open reduction and internal fixation (ORIF) .…”

Section: Introductionmentioning

confidence: 99%

A 3‐dimensional‐printed patient‐specific guide system for minimally invasive plate osteosynthesis of a comminuted mid‐diaphyseal humeral fracture in a cat

Oxley

2018

Veterinary Surgery

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Section: Introductionmentioning

confidence: 99%

A 3‐dimensional‐printed patient‐specific guide system for minimally invasive plate osteosynthesis of a comminuted mid‐diaphyseal humeral fracture in a cat

Oxley

2018

Veterinary Surgery

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“…Despite the recommendations for stabilization with external fixation in cases of bacterial infection, in the present case, this method was not chosen due to the possibility of implant failure before the achievement of bone consolidation (Bubenik and Smith, 2003). The choice of the interlocking nail was based on its biomechanical superiority, longer period of patency and its potential for dynamization (Déjardin et al, 2012). Similar to our case, a study in radial nonunion in small breed dogs, which used reconstruction plates with allogenous bone graft, showed that the use of internal fixation in infected nonunion had no difference in consolidation period than that which were not infected and showed no signs of infection after discontinuation of the antibiotic medication (Munakata et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Treatment of a femoral septic nonunion in a dog with interlocking nail stabilization associated to corticospongious bone autograft and greater omentum flap: case report

Menezes

Costa

Conceição

et al. 2020

Arq. Bras. Med. Vet. Zootec.

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Chronic septic bone nonunion requires a well-designed therapeutic planning, demanding a multimodal treatment to achieve bone consolidation and elimination of infection. A successful case of an association of the major omentum flap with surgical stabilization with an interlocking nail for treatment of a femoral septic nonunion in dog is reported. The patient had partial functional return of the limb 30 days after surgery, negative bacterial culture with radiographic signs of bone healing and total functional return of the limb at 90th days after the surgical procedure.

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“…In addition, because the joysticks are inserted bicortically, intramedullary devices, such as Steinman pins or interlocking nails (ILN), can be difficult to place. While MIO is considered state of the art for most human long bone fracture repair 13,18,25 and is becoming increasingly popular in veterinary orthopedics, 20,23,24,26‐29 the challenges and associated expenses can limit the use of MIO for many small animal surgeons.…”

Section: Introductionmentioning

confidence: 99%

Development of a novel fracture fragment stabilization system for minimally invasive osteosynthesis and in vitro comparison to traditional Kern bone reduction forceps

Pfeil

Horstman

2020

Veterinary Surgery

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Objective: To develop and evaluate a novel fracture fragment stabilization system, the Sirius minimally invasive bone reduction handle system (SMH), in an artificial fracture model (FxM) simulating a canine femoral fracture repair with a minimally invasive orthopedic approach. Study design: In vitro experimental study. Sample population: Synthetic fractured femurs with soft-tissue coverage analog (n = 8). Methods: The developed SMH consisted of modified Kern forceps connected with existing external skeletal fixation components. Intramedullary Steinman pin placement with the SMH or traditional Kern forceps only (KO) was performed by 16 participants in randomized order. Demographics and surgical experience of participants and outcome variables (fragment movement, early/ final gap formation, time of procedure, assessed practicability by visual analog scale) were recorded and statistically evaluated. Results: The SMH was more difficult and took longer to assemble (P = .031 and P = .008); SMH resulted in a smaller final reduction gap (P = .008). More surgical experience resulted in faster surgery times (R 2 = 0.766) but was not correlated with final fracture gap formation. Conclusion: The SMH was associated with reduced fragment gap formation in this simulated setting. Clinical significance: The SMH may be helpful for maintaining reduction of femoral fractures in dogs. Additional studies of the SMH should be conducted to fully assess the effectiveness and practicality in clinical cases. 1 | INTRODUCTION Minimally invasive osteosynthesis (MIO) and its advantages are well described. 1-4 Disadvantages of MIO include exposure of the operating team to radiation from intraoperative fluoroscopy and a steep learning curve. 5-11 Challenges of MIO include the inability to visualize the fracture ends, changes of the normal anatomic structures secondary to fracture displacement and soft tissue swelling, difficulty and increased time required to overcome

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Interlocking Nails and Minimally Invasive Osteosynthesis

Cited by 19 publications

References 38 publications

A 3‐dimensional‐printed patient‐specific guide system for minimally invasive plate osteosynthesis of a comminuted mid‐diaphyseal humeral fracture in a cat

A 3‐dimensional‐printed patient‐specific guide system for minimally invasive plate osteosynthesis of a comminuted mid‐diaphyseal humeral fracture in a cat

Treatment of a femoral septic nonunion in a dog with interlocking nail stabilization associated to corticospongious bone autograft and greater omentum flap: case report

Development of a novel fracture fragment stabilization system for minimally invasive osteosynthesis and in vitro comparison to traditional Kern bone reduction forceps

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