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Update on orthopaedic implants: what`s on the horizon?
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The Equine T-Plate was launched to provide a single implant solution for physeal fractures of the foal´s proximal tibia. These are rare but challenging cases to manage due to limited implant purchase in the small epiphyseal fracture segment and the relatively soft bone in the epiphysis and metaphysis. The Equine Tplate is made of 316L stainless steel and it is compatible with the Large Fragment system. It is available as 4-, 6-, 8- and 10-hole plate. Stacked combi-holes are at the head (3) and at the tip (1) of the plate, the remaining holes are standard combi holes. Recently, a number of cases had demonstrated the utility of the Equine T-Plate to provide solid fixation in short fracture segments in the MC/MT III and the radius. Specifically, the T-portion of the plate can be used to engage up to 3 locking screws in fracture segments where standard plate fixation would be inadequate. Further indication included corrective osteotomy and partial carpal and tarsal arthrodesis (Lischer et al. 2019). Recently, a T-Plate was used for atlanto-axial fusion in a yearling with complete luxation of this articulation (Schulze et al. 2019).
Accessory carpal bone (ACB) fractures are rare and but well recognized in Thoroughbreds, used as racing horses, hunters and Warmblood sports horses. The most common configuration is a proximodistal oriented fracture running through the lateral sulcus in which the tendon of the flexor carpi ulnar is located. In simple fractures with minimal displacement, conservative management can be successful in selected cases. However osseous union is hardly achieved because the constant pull of the flexor carpi ulnaris muscle is causing motion across the fracture plane. Due to the closed proximity of the ACB to the carpal canal, instability at the fracture site may further damage adjacent tendons, blood vessels and nerves. [...]
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