The plate is applied by inserting at least three bicortical screws in each major segment. The plate should bridge at least 75% of the length of the tibia.
The use of a locking plate may be advantageous because there is less plate contouring needed.
4. Case example
4 month old mix breed dog with a 42-A1 fracture from falling from a height.
The fracture was repaired with a 2.4mm locking compression plate, three locking screws and one cortical screw using a MIPO technique.
Postoperative radiographs at 30 days showing healing of the fracture.
Postoperative radiographs at 38 days (implant removal).
Phase 1: 1-3 day after surgery
The aim is to reduce the edema, inflammation and pain. A Robert Jones or modified Robert Jones bandage can be used to decrease the edema and protect the surgical wound. Integrative medical therapies, anti-inflammatory medications and analgesics are recommended. In most cases, 10-20 minutes of ice therapy is recommended every 8 hours.
Phase 2: 4-10 days after surgery
The aim is to resolve the hematoma, edema and control pain, and prevent muscle contracture. Anti-inflammatory and analgesic medications may still be needed. Rehabilitation and integrative medical therapies can be used.
If the dog is not starting to use the limb within a few days after surgery, a careful evaluation is recommended.
10-14 days after surgery the sutures are removed.
Phase 3: 10 day-bone healing
Radiographic assessment is performed every 4-8 weeks until bone healing is confirmed.
More information about implant removal can be found here.