Gauthier Christopher M, Conrad Bryan P, Lewis Daniel D, Pozzi Antonio
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32611, USA.
Am J Vet Res. 2011 Aug;72(8):1112-7. doi: 10.2460/ajvr.72.8.1112.
To compare in vitro axial compression, abaxial compression, and torsional stiffnesses of intact and plated radii from small- and large-breed dogs.
Radii from 18 small-breed and 9 large-breed skeletally mature dogs.
3 groups were tested: large-breed dog radii plated with 3.5-mm limited-contact dynamic compression plates (LCDCPs), small-breed dog radii plated with 2.0-mm dynamic compression plates (DCPs), and small-breed dog radii plated with 2.0/2.7-mm cut-to-length plates (CTLPs). The axial compression, abaxial compression, and torsional stiffnesses of each intact radius were determined under loading with a material testing machine. An osteotomy was performed, radii were plated, and testing was repeated. The stiffness values of the plated radii were expressed as absolute and normalized values; the latter was calculated as a percentage of the stiffness of the intact bone. Absolute and normalized stiffness values were compared among groups.
The absolute stiffnesses of plated radii in axial and abaxial compression were 52% to 83% of the intact stiffnesses in all fixation groups. No difference was found in torsion. There was no difference in normalized stiffnesses between small-breed radii stabilized with CTLPs and large-breed radii stabilized with LCDCPs; however, small-breed radii stabilized with DCPs were less stiff than were any other group.
Plated radii of small-breed dogs had normalized stiffnesses equal to or less than plated radii of large-breed dogs. The complications typically associated with plating of radial fractures in small-breed dogs cannot be ascribed to an overly stiff bone-plate construct.
比较小型犬和大型犬完整桡骨以及钢板固定后桡骨的体外轴向压缩、侧方压缩和扭转刚度。
18只小型犬和9只大型犬骨骼成熟后的桡骨。
测试3组:大型犬桡骨用3.5毫米有限接触动力加压钢板(LCDCP)固定,小型犬桡骨用2.0毫米动力加压钢板(DCP)固定,小型犬桡骨用2.0/2.7毫米定制长度钢板(CTLPs)固定。使用材料试验机在加载情况下测定每根完整桡骨的轴向压缩、侧方压缩和扭转刚度。进行截骨术,给桡骨上钢板,然后重复测试。钢板固定桡骨的刚度值以绝对值和归一化值表示;后者计算为完整骨骼刚度的百分比。比较各组的绝对刚度值和归一化刚度值。
在所有固定组中,钢板固定桡骨在轴向和侧方压缩时的绝对刚度为完整刚度的52%至83%。扭转方面未发现差异。用CTLPs固定的小型犬桡骨与用LCDCPs固定的大型犬桡骨在归一化刚度上没有差异;然而,用DCPs固定的小型犬桡骨比其他任何组的刚度都低。
小型犬钢板固定后的桡骨归一化刚度等于或小于大型犬钢板固定后的桡骨。小型犬桡骨骨折钢板固定常见的并发症不能归因于骨 - 钢板结构过于僵硬。