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.

x-ray lurcher leg showing comminuted fracture and repair by Colin Whiting at A30 Referrals Penmellyn Vets
x-ray lurcher leg showing comminuted fracture and repair by Colin Whiting at A30 Referrals Penmellyn Vets
x-ray lurcher leg showing comminuted fracture and repair by Colin Whiting at A30 Referrals Penmellyn Vets
x-ray lurcher leg showing comminuted fracture and repair by Colin Whiting at A30 Referrals Penmellyn Vets

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TPLO on both backlegs

“My dog, Saffie had TPLO performed by Colin on both of her rear legs”