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      Torsional comparative biomechanical test of modified tibial-plateau-leveling osteotomy plate and locking plate in canine synthetic tíbias Translated title: Teste de torção biomecânica comparative de placa de TPLO modificada e placa bloqueada em tibia sintética canina

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          Abstract

          ABSTRACT The objective of this study was to develop a locked tibial-plateau-leveling osteotomy (TPLO) plate and to compare this implant with the conventional bone fixation method using a locked plate to determine bone stabilization against torsion forces. Maximum force, angle at peak torque, and stiffness values were determined. Ten synthetic tibias were used, divided into 2 groups. The results in Group 1 (modified TPLO plate) and Group 2 (locked plate) were assessed using analysis of variance and the means were compared using Tukey’s test at 5% probability. There were significant differences in the angle at peak torque and stiffness. The group Modified TPLO plate had higher mean values of stiffness compared with Group locked plate. Group locked plate showed a greater angle at peak torque compared with Group modified TPLO plate. All constructs failed due to tibial fractures distal to the plate. The modified TPLO plate presented higher stiffness indexes than conventional locked plate in torsion. The locked plate presented greater elasticity than modified TPLO plate having greater angle at the peak of torque.

          Translated abstract

          RESUMO O objetivo do presente estudo foi desenvolver placa de TPLO bloqueada modificada e avaliar, em ensaio de torção, a estabilização óssea proporcionada pelo implante desenvolvido comparativamente a método de fixação óssea convencional com placa reta bloqueada. As variáveis obtidas foram força máxima, ângulo no pico de torque e rigidez. Foram utilizadas 10 tíbias sintéticas, dividas em dois grupos. Os resultados obtidos do grupo 1 (placa TPLO modificada) e do grupo 2 (placa bloqueada) foram submetidos à análise de variância, e as médias comparadas entre si pelo teste de Tukey a 5% de probabilidade. Houve diferença significativa em relação às variáveis, ângulo no pico de torque e rigidez. Na variável rigidez, a média do grupo placa de TPLO modificada foi maior que a do grupo placa reta bloqueada. Em relação à variável ângulo no pico de torque, o grupo placa reta bloqueada foi superior ao grupo placa de TPLO modificada. Todas as montagens falharam devido à quebra do corpo de prova distal à placa. Conclui-se que a placa de TPLO modificada apresentou maior índice de rigidez que a placa reta convencional sob força de torção. A placa reta bloqueada apresentou maior ângulo no pico de torque, sendo, portando, mais elástica.

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          Most cited references9

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          The biology of fracture healing in long bones.

          B McKibbin (1978)
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            Tibial Plateau Leveling Osteotomy for Repair of Cranial Cruciate Ligament Rupture in the Canine

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              The current status of locked plating: the good, the bad, and the ugly.

              Locked plate technology has evolved in an effort to overcome the limitations associated with conventional plating methods, primarily for improving fixation in osteopenic bone. The development of screw torque and plate-bone interface friction is unnecessary with locked plate designs, significantly decreasing the amount of soft tissue dissection required for implantation, preserving the periosteal blood supply, and facilitating the use of minimally invasive percutaneous bridging fixation techniques. The locked plate is a fixed-angle device because angular motion does not occur at the plate screw interface. The use of locked plate technology allows the orthopaedic surgeon to manage fractures with indirect reduction techniques while providing stable fracture fixation. The secure 'feel' of locked plates, ease of application, and the low incidence of complications noted in early clinical reports have contributed to the proliferation of this technology. Along with reports of clinical successes, as the use of fixed angle/locked plates has increased, clinical failures are being noticed. This review will focus on the biomechanics of locked plate technology, appropriate indications for its use, laboratory and clinical comparisons to conventional plating techniques, and potential mechanisms of locked plate failure that have been observed.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                abmvz
                Arquivo Brasileiro de Medicina Veterinária e Zootecnia
                Arq. Bras. Med. Vet. Zootec.
                Universidade Federal de Minas Gerais, Escola de Veterinária (Belo Horizonte, MG, Brazil )
                0102-0935
                1678-4162
                October 2019
                : 71
                : 5
                : 1535-1540
                Affiliations
                [2] Jaboticabal orgnameUniversidade Estadual Paulista Brazil
                [1] Jaboticabal orgnameUniversidade Estadual Paulista orgdiv1Programa de pós-graduação Brazil
                [3] Ribeirão Preto orgnameUniversidade de São Paulo Brazil
                Article
                S0102-09352019000501535
                10.1590/1678-4162-10442
                e6879f18-e04d-4e81-99f2-5b3fcf3031f3

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 24 January 2019
                : 19 December 2017
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 6
                Product

                SciELO Brazil

                Categories
                Veterinary Medicine

                orthopedics,biomecânica,osteossíntese,ortopedia,biomechanics,osteosynthesis

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