Max returned 3 days later for bandage removal. Due to his rambunctious nature and the 1:1 screw configuration, she elected for the added support over the weekend. Post-operatively, the owner was given the option of a light supportive bandage for 3-4 days, or to take Max home without one. Post-operative radiographs showed anatomical alignment of the limb with excellent implant positioning. The incisions were routinely closed in layers with 3-0 PDS and 4-0 Monocryl.
C-arm fluoroscopy was used to confirm appropriate implant placement and avoidance of the growth plates. The plate was affixed with one proximal and one distal non-locking 2.0 mm screws. An epiperiosteal tunnel was created using a 14-hole 1.5/2.0mm cuttable plate, which was passed proximal to distal through the two incisions and positioned on the medial aspect of the tibia. Marturello performed his repair minimally invasively through two small incisions.
Since the fracture was minimally displaced, Dr. Due to the type of fracture Max sustained, surgery was recommended to stabilize the tibia to prevent further displacement while it healed, and allow him a quicker return to function than bandaging would have provided. He was non-ambulatory on his right pelvic limb, with signs of pain that included a refusal to eat or drink.Ī radiograph confirmed that Max had suffered a closed, complete, minimally-displaced mid-diaphyseal spiral fracture of his right tibia, with an intact fibula.
Max, an 8-week-old German Shepherd, presented to the Small Animal Emergency and Critical Care Service at the MSU Veterinary Medical Center after being accidentally stepped on while playing with an 80-pound dog at home. Danielle Marturello, assistant professor of Small Animal Clinical Sciences, 24-hours post-op.
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