Subscribe to RSS
Download PDF
DOI: 10.3415/VCOT-08-06-0051
Repair of thirty-six fractures in dogs using the Mennen clamp-on plate: preliminary results
Publication History
Received:
15 June 2008
Accepted:
09 March 2009
Publication Date:
18 December 2017 (online)
Summary
Objective: To report the use of a human fixation device, the Mennen clamp-on plate (MCOP), for fracture repair in dogs as the sole method of fixation, or in combination with another fixation method such as an intramedullary pin.
Methods: The study, which was performed to evaluate the use of the MCOP in fracture repair in dogs, included 36 cases that were selected between 2004 and 2008. The selected cases were all closed diaphyseal fractures, in which sufficient plate prongs could engage the bone on either side of the fracture.
Results: Of the 36 cases, 32 had excellent outcomes, and four had complications; these were two cases of fixation failure, one case of osteomyelitis, and one with mild sciatic nerve deficits.
Discussion: The MCOP is a promising method for fracture repair on its own for young puppies (six months or less), and in conjunction with other fixation methods in older dogs. It is quick to apply, as no screw holes are created and it achieved a successful outcome in 95% of the cases, provided the cases were appropriately selected for this method.
Conclusions: Using the MCOP has produced promising preliminary results in this study and warrants further evaluation.
-
References
- 1 Brinker WO, Piermattei DL, Flo GL. Handbook of small animal orthopedics and fracture repair. 3rd ed.. St Louis, Saunders Elsevier; 1997: 34
- 2 Gautier E, Perren SM, Ganz R. Principles of internal fixation. Curr Orthop 1992; 6: 220-232.
- 3 Brinker WO. The use of intramedullary pins in small animal fractures: a preliminary report. North Am Vet 1948; 29: 292-297.
- 4 Stader O. A preliminary announcement of a new method of treating fractures. North Am Vet 1937; 18: 37-38.
- 5 Ilizarov GA. Transosseous osteosynthesis theoretical and clinical aspects of regeneration and growth of tissue osteogenesis and hematopoiese. Berlin-Heidelberg, Springer-verlag 1992; 279-283.
- 6 Duhautois B. Use of veterinary interlocking nails for diaphyseal fractures in dogs and cats: 121 cases. Vet Surg 2003; 32: 8-20.
- 7 Weller S, Hontsch D. Medullary nailing of the femur and tibia. In Manual of internal fixation 3rd ed Allgower M. Ed Berlin, Springer-Verlag 1991; 291-366.
- 8 Brinker WO, Piermattei DL, Flo GL. Handbook of small animal orthopedics and fracture repair. 3rd ed.. St Louis, Saunders Elsevier; 1997: 24-147.
- 9 Scotti S, Klein A, Pink J. et al Retrograde placement of a novel 3.5mm titanium interlocking nail for supracondylar and diaphyseal femoral fractures in cats. Vet Comp Orthop Traumatol 2007; 211-218.
- 10 Haaland P, Sjöstrom L, Devor M. et al Appendicular fracture repair in dogs using the locking compression plate: 47 cases. Vet Comp Orthop Traumatol 2009; 22: 309-315.
- 11 Zahn K, Matis U. The clamp rod internal fixator – application and results in 120 small animal fracture patients. Vet Comp Orthop Traumatol 2004; 17: 110-120.
- 12 Rahal C, Otoni CC, Pereira-Junior OCM. et al Synthesis pengo system plates for the treatment of long bone diaphyseal fractures in dogs. Vet Comp Orthop Traumatol 2008; 21: 59-63.
- 13 Andrianov V, Tralman G, Hoim R. et al Rod-through-plate fixation of canine diaphyseal fractures. Vet Comp Orthop Traumatol 2007; 20: 308-311.
- 14 Mennen U. The paraskeletal clamp on plate part I and II. S Afr Med J 1984; 66: 167-172.
- 15 Mennen U. Metacarpal fractures and clamp on plate. J Hand Surg Br 1990; 15B: 295-298.
- 16 Kligman M, Roffman M. Humeral fracture following shoulder arthroplasty. Orthopedics 1999; 22: 511-513.
- 17 Jahnich H, Compson JP, Phillips SL. The Mennen plate in complex humeral fractures. Orthopedics 2000; 23: 495-496.
- 18 Proubasta IR, Itarte JP, Lama CG. et al Mennen plate fixation for the treatment of periprosthetic fractureof the humeral shaft. Internet Journal Orthopedic Surgery [ISSN:1531–2698]. 2005 [cited AUTHOR – Date of citation]; 2: 2 [about 3 pages]. Available from http://www.ispub.com/journal/the_internet_journal_of_orthopedic_surgery.html.
- 19 Robinson AHN, Ayllon-Garcia A, Hallet JP. et al Periprosthetic fractures of the hip: the Mennen clasp plate. Hip Int 1995; 5: 20-24.
- 20 Dave DJ, Koka SR, James SE. Mennen plate fixation for fracture of the femoral shaft with ipsilateral total hip and knee arthroplasties. J Arthroplasty 1995; 10: 113-115.
- 21 Radcliffe SN, Smith DN. The Mennen plate in peri-prosthetic hip fractures. Injury 1996; 27: 27-30.
- 22 Noorda RJP, Wuisman P. Mennen plate fixation for the treatment of periprosthetic femoral fratures: A multicentre study of 36 fractures. J Bone Joint Surg 2002; 84A: 2211-2215.
- 23 Petersen VS. Problems with the Mennen plate when used for femoral fractures associated with implants. A report of 5 patients. Int Orthop 1998; 22: 169-170.
- 24 Coetzee GL. Bone healing following two methods of non rigid tibial osteotomy repair in the dog. J S Afr Vet Assoc 1993; 64: 20-27.
- 25 Coetzee GL. Long bone fracture fixation with an intramedullary pin and C-clamp-on plate in dogs: 21 cases (1992–1997). Vet Comp Orthop Traumatol 1999; 12: 26-32.
- 26 Hulse D, Ferry K, Fawcett A. et al Effect of intramedullary pin size on reducing bone plate strain. Vet Comp Orthop Traumatol 2000; 13: 185-190.
- 27 Hulse D, Hyman W, Nori M. et al Reduction in plate strain by addition of an intramedullary pin. Vet Surg 1997; 26: 451-459.
- 28 Black AP, Withrow SJ. Changes in the proximal femur and coxofemoral joint following intramedullary pinning of diaphyseal fractures in young dogs. Vet Surg 1979; 8: 19-24.
- 29 Latte Y, Drape J. Traitement chirurgical des fractures diaphysaires du femur du jeune par plaque d’osteosynthese semi-rigid. Prat Medic Chirurg Anim Comp 1991; 26: 187-201.
- 30 Peirone B, Camuzzi D, Filippi D. Femoral and humeral fracture treatment with an intramedullary pin/ external fixator tie in technique configuration in growing dogs and cats. Vet Comp Orthop Trauma-tol 2002; 15: 85-91.
- 31 McCartney W. Use of the modified acrylic external fixator in 54 dogs and 28 cats. Vet Rec 1998; 330-334.
- 32 Cabassau JP. Elastic plate osteosynthesis of femoral shaft fractures in young dogs. Vet Comp Orthop Traumatol 2001; 14: 40-45.
- 33 Sarrau S, Meige F, Autefage A. Treatment of femoral and tibial fractures in puppies by elastic plate osteo-synthesis – A review of 17 cases. Vet Comp Orthop Traumatol 2007; 20 (01) 51-58.
- 34 Aro H, Chao E. Bone healing patterns affected by loading, fracture fragment stability, fracture type, and fracture site compression. Clin Orthop Relat Res 1993; 29: 8-17.