Istim Cansu, Arican Mustafa
Department of Surgery, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey.
Vet Med (Praha). 2022 Mar 22;67(6):316-322. doi: 10.17221/42/2021-VETMED. eCollection 2022 Jun.
The aim of this study was a clinical and radiographic evaluation of the minimally invasive plate osteosynthesis (MIPO) method for treatment in dogs with tibial fractures. Ten dogs of different breeds, ages, and sex with tibial fractures were used as the subjects. A medial approach to the tibia was used in all the cases. The tibial tuberosity was palpated proximally and a short incision was made along the midline. After reduction of the fracture, proximal and distal insertion incisions were made to approach the tibia. The mean times for the MIPO operations were 21 minutes. The patients were able to stand and walk postoperatively on the first day and recovery was rapid for all of the dogs. The fracture healing was completed on day 45 based on the radiographic evaluations of these cases. Dogs with tibia fractures treated by MIPO healed rapidly without any complications (90%). Correct fracture selection is important for the use of MIPO to be successful. Further studies with a larger group of dogs should be considered to compare the efficacy of MIPO and other fixation techniques and for the long-term evaluation of the repaired tibial fractures.
本研究旨在对微创钢板接骨术（MIPO）治疗犬胫骨骨折的方法进行临床和影像学评估。选用10只不同品种、年龄和性别的胫骨骨折犬作为研究对象。所有病例均采用胫骨内侧入路。在近端触诊胫骨结节，并沿中线做一小切口。骨折复位后，分别在近端和远端做插入切口以显露胫骨。MIPO手术的平均时间为21分钟。所有犬术后第一天即可站立和行走，恢复迅速。根据这些病例的影像学评估，骨折在第45天愈合。采用MIPO治疗的胫骨骨折犬愈合迅速，无任何并发症（90%）。正确选择骨折病例对于成功应用MIPO至关重要。应考虑进一步开展更大样本量犬的研究，以比较MIPO与其他固定技术的疗效，并对修复后的胫骨骨折进行长期评估。
