28kg Lurcher with a closed comminuted extensive mid-diaphyseal tibial fracture. Epidural supplementary analgesia.
A medial approach, reconstruction of load sharing caudomedial surface and lag screw fixation of main craniomedial butterfly fragment, remaining soft tissues undistrubed and no attempt to fixate lateral fragment.
Four .5mm lag screws and an 11 hole 4.5mm butress plate, filling every hole to reduce stress riser effect.
It’s a ‘carpentry’style repair rather than a biological locking plate/rod fixation, in part governed by availability of locking implants at sufficient length; and orthodox 3.5mm DCP would have been insufficiently robust for the loading.
Thank you for so many kind messages following our #RichHousePoorHouse episode last night
The image shows a post operative TECA LBO in a cat
The day after bilateral pelvic fixation (sacroiliac lag screw/washers), Lola is up and about