VCOT January 2025 – Ortho Part 1: Locking Plates & Traumatic Patellar Luxation Fixation
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In this Simini Small Animal Surgery Podcast episode, we highlight two impactful orthopedic studies from the January 2025 issue of VCOT. Whether you're choosing a locking plate system or navigating traumatic patellar luxation (PL), this episode brings you practical, evidence-based insights for your next case.
We cover:
✅ Lai et al. — A biomechanical comparison of three 3.5 mm locking compression plate (LCP) systems under cyclic torsion. While initial stiffness across systems was similar, fatigue life varied dramatically, with DPS screws outperforming KB and Vey by up to 50%. Failure occurred via screw breakage, not plate deformation—reframing implant selection around screw endurance, not just plate stiffness
✅ Boullenger et al. — A retrospective review of 16 traumatic patellar luxation cases in dogs and cats—strictly excluding developmental deformities. All were treated with soft tissue repair alone, and 10 of 13 dogs achieved full return to function at a 71-month mean follow-up. Use of a fabellotibial suture (FPS) was critical, especially in large-breed dogs. Surgical pearls include anchoring the FPS to the femoral condyle for better isometry and reduced failure
🎓 Journal Articles Discussed:
- Lai et al. — Biomechanical Comparison of Three Locking Compression Plate Constructs from Three Manufacturers under Cyclic Torsional Loading in a Fracture Gap Model
- Boullenger et al. — Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats A Single-Centre Retrospective Study between 2011 and 2022
📚 From the January 2025 issue of VCOT
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