Clinical and radiographic evaluation of minimally invasive plate osteosynthesis (MIPO) in dogs with tibial fractures
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.
Arican M. Cat and dog orthopedics and traumatology. Konya: Anka Basimevi; 2020. p. 83-90.
Bergmann HM, Nolte I, Kramer S. Comparison of analgesic efficacy of preoperative or postoperative carprofen with or without preincisional mepivacaine epidural anesthesia in canine pelvic or femoral fracture repair. Vet Surg. 2007 Oct;36(7):623-32. https://doi.org/10.1111/j.1532-950X.2007.00314.x
Cheng W, Li Y, Manyi W. Comparison study of two surgical options for distal tibia fracture-minimally invasive plate osteosynthesis vs. open reduction and internal fixation. Int Orthop. 2011 May;35(5):737-42. https://doi.org/10.1007/s00264-010-1052-2
Cross AR, Budsberg SC, Keefe TJ. Kinetic gait analysis assessment of meloxicam efficacy in a sodium urate-induced synovitis model in dogs. Am J Vet Res. 1997 Jun;58(6):626-31.
Farouk O, Krettek C, Miclau T, Schandelmaier P, Guy P, Tscherne H. Minimally invasive plate osteosynthesis: Does percutaneous plating disrupt femoral blood supply less than the traditional technique? J Orthop Trauma. 1999 Aug;13(6):401-6. https://doi.org/10.1097/00005131-199908000-00002
Horstman CL, Beale BS, Conzemius MG, Evans RR. Biological osteosynthesis versus traditional anatomic reconstruction of 20 long-bone fractures using an interlocking nail: 1994–2001. Vet Surg. 2004 May-Jun;33(3):232-7. https://doi.org/10.1111/j.1532-950X.2004.04034.x
Hudson CC, Pozzi A, Lewis DD. Minimally invasive plate osteosynthesis: Applications and techniques in dogs and cats. Vet Comp Orthop Traumatol. 2009;22(3):175-82. https://doi.org/10.3415/VCOT-08-06-0050
Istim C, Arican M. Clinical and radiographic evaluation of minimally invasive plate osteosynthesis (MIPO) in long-extremity fractures of dogs. Eurasian J Vet. 2020;36(3):172-9. https://doi.org/10.15312/EurasianJVetSci.2020.275
Johnson AL. Fundamentals of orthopedic surgery and fracture management. In: Fossum TW, editor. Small animal surgery. St. Louis, Mo.: Elsevier Mosby; 2013. p. 1065-93.
Koch D. Screws and plates. In: Johnson AL, Houlton JEF, Vannini R, editors. AO principles of fracture management in the dog and cat. Dübendorf, Switzerland: Thieme Press; 2005. p. 26-50.
Krettek C, Muller M, Miclau T. Evolution of minimally invasive plate osteosynthesis (MIPO) in the femur. Injury. 2001 Dec;32(Suppl_3):SC14-23. https://doi.org/10.1016/S0020-1383(01)00180-2
Laflamme GY, Rouleau DM, Berry GK, Beaumont PH, Reindl R, Harvey EJ. Percutaneous humeral plating of fractures of the proximal humerus: Results of a prospective multicenter clinical trial. J Orthop Trauma. 2008 Mar;22(3):153-8. https://doi.org/10.1097/BOT.0b013e3181694f7d
Lane JM, Sandhu HS. Current approaches to experimental bone grafting. Orthop Clin North Am. 1987 Apr;18(2):213-25. https://doi.org/10.1016/S0030-5898(20)30385-0
Mundy GR. Cytokines and growth factors in the regulation of bone remodeling. J Bone Miner Res. 1993 Dec;8 (Suppl_2):S505-10. https://doi.org/10.1002/jbmr.5650081315
Perren SM. Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: Choosing a new balance between stability and biology. J Bone Joint Surg Br. 2002 Nov;84(8):1093-110. https://doi.org/10.1302/0301-620X.84B8.0841093
Peyser A, Weil YA, Brocke L, Sela Y, Mosheiff R, Mattan Y, Manor O, Liebergall M. A prospective, randomised study comparing the percutaneous compression plate and the compression hip screw for the treatment of intertrochanteric fractures of the hip. J Bone Joint Surg Br. 2007 Sep;89(9):1210-7. Erratum in: J Bone Joint Surg Br. 2008 Nov;90(11):1533. https://doi.org/10.1302/0301-620X.89B9.18824
Pozzi A, Lewis D. Surgical approaches for minimally invasive plate osteosynthesis in dogs. Vet Comp Orthop Traumatol. 2009;22(4):316-20. https://doi.org/10.3415/VCOT-08-10-0096
Pozzi A. MIPO: Minimally invasive percutaneous plating. In: WSAVA World Congress Proceedings Jul 21-23, Florida, USA; 2009.
Rozbruch SR, Muller U, Gautier E, Ganz R. The evolution of femoral shaft plating technique. Clin Orthop Relat Res. 1998 Sep;(354):195-208. https://doi.org/10.1097/00003086-199809000-00024
Schmokel HG, Hurter K, Schawalder P. Percutaneous plating of tibial fractures in two dogs. Vet Comp Orthop Traumatol. 2003;16(3):191-5. https://doi.org/10.1055/s-0038-1632776
Schmokel HG, Stein S, Radke H, Hurter K, Schawalder P. Treatment of tibial fractures with plates using minimally invasive percutaneous osteosynthesis in dogs and cats. J Small Anim Pract. 2007 Mar;48(3):157-60. https://doi.org/10.1111/j.1748-5827.2006.00260.x
Stoffel K, Dieter U, Stachowiak G, Gachter A, Kuster MS. Biomechanical testing of the LCP – How can stability in locked internal fixators be controlled? Injury. 2003 Nov;34(Suppl_2):B11-9. https://doi.org/10.1016/j.injury.2003.09.021
Williams TH, Schenk W. Bridging-minimally invasive locking plate osteosynthesis (Bridging-MILPO): Technique description with prospective series of 20 tibial fractures. Injury. 2008 Oct;39(10):1198-203. https://doi.org/10.1016/j.injury.2008.05.008