Locking Plate and Screw Fixation After Tibial Plateau Leveling Osteotomy Reduces Postoperative Infection Rate in Dogs Over 50 kg. Issue 1 (26th May 2014)

• Record Type: Journal Article
• Authors: Solano, Miguel A.; Danielski, Alan; Kovach, Karla; Fitzpatrick, Noel; Farrell, Michael
• Is Part Of: Veterinary surgery. Volume 44:Issue 1(2015)
• Page Start: 59
• Page End: 64
• Publication Date: 2014-05-26
• Subjects: Veterinary surgery -- Periodicals; Veterinary Medicine -- Periodicals; Surgery -- Periodicals; Societies, Medical -- Periodicals; 636.0897
• DOI: 10.1111/j.1532-950X.2014.12212.x
• Languages: English
• ISSNs: 0161-3499

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="vsu12212-sec-0001" sec-type="section"> <title>Objective</title> <p>To assess the influence of locking plate and screw implants on postoperative infection rate in dogs >50 kg undergoing tibial plateau leveling osteotomy (TPLO).</p> </sec> <sec id="vsu12212-sec-0002" sec-type="section"> <title>Study Design</title> <p>Retrospective case series.</p> </sec> <sec id="vsu12212-sec-0003" sec-type="section"> <title>Animals</title> <p>Dogs >50 kg (n = 208) that had TPLO.</p> </sec> <sec id="vsu12212-sec-0004" sec-type="section"> <title>Methods</title> <p>Medical records (January 2003–September 2011) were reviewed for dogs that had TPLO. Type of implant used (locking plate and screw fixation [LP] and dynamic compression plate and screw fixation [NLP]), use of postoperative antibiotics and presence of postoperative infection were recorded. Multivariate analysis was performed.</p> </sec> <sec id="vsu12212-sec-0005" sec-type="section"> <title>Results</title> <p>Forty dogs (21.3%) had clinical signs compatible with postoperative infection. A positive microbiology swab was available in 16/40 cases (40%). Administration of postoperative antibiotics was associated with a lower incidence of infection (<italic>P </italic>= .006) and the use of NLP was associated with a higher incidence of infection (<italic>P</italic> = .01).</p> </sec> <sec id="vsu12212-sec-0006" sec-type="section"> <title>Conclusions</title> <p>Use of LP construct and postoperative antibiotic therapy significantly decreased infection rate in dogs >50 kg that have TPLO.</p> </sec> </abstract>