Applicazione clinica della placca LCP Synthes nel trattamento delle fratture dello scheletro appendicolare del cane

Introduction - The evolution of internal fixation in traumatology has allowed the mutation of the traditional "mechanical" approach into a more "biological" one. The Synthes Locking Compression Plates (LCP) feature innovative traits (i.e. combihole, low contact design) that enable use both as a dynamic compression plate and as an internal fixator through minimal invasive techniques. There are few clinical reports in veterinary literature on the use of LCP plates. The aim of our study is evaluating the clinical application of the LCP plate in treatment of the appendicular skeletal fractures in dogs. Materials and methods - The study includes 25 dogs whose fractures have been treated with an LCP plate, with clinical and radiographical followup until complete bone healing has occurred. Results - Bone healing has been observed in all patients. Functional recovery was excellent in 19 cases, good in 4, fair in 2. We experienced minor complications in 5 cases during the clinical follow-up. Discussion - Out of the 26 treated cases, 18 featured a comminuted fracture site or a small fragment: principal indications for the use of the LCP plate. In 5 highly comminuted fractures the features of the plate have allowed treatment through the MIPO technique. Said technique does not interfere with the biology of the fracture site, allows the application of a buttress plate and provides improved comfort for the patient in the post-operative period.