In vitro mechanical evaluation of a limited contact dynamic compression plate and hybrid carpal arthrodesis plate for canine pancarpal arthrodesis.

摘要

Objective: To compare the mechanical properties of pancarpal arthrodesis (PCA) constructs stabilized at 20 degrees of extension using either a 3.5 mm limited contact dynamic compression plate (LC-DCP) or a 3.5/2.7 mm hybrid plate (HP). Methods: Seven forelimb pairs were used from dogs of similar size. All soft tissues were removed except for supporting structures of the carpus and proximal metacarpal region. All plates were accurately bent to 20 degrees , and then instrumented with two, 350 Omega strain gauges applied at the level of the bend. Constructs were embedded in epoxy moulds then mounted onto a servo-hydraulic testing machine. Specimens were loaded for 10 cycles at 100N, 200N and 300N. Tenth cycle construct compliance (CC), maximum angular deformation (MAD), and peak plate strain (PPS) were compared using two-factor analysis of variance (ANOVA) and Student-Newman-Keuls post-hoc tests (p<0.05). Results: Regardless of load, CC was 29% to 33% smaller in the HP than the LC-DCP group (p<0.03). In each group, the CC significantly increased with increasing loads (p<0.02). Mean MAD was 19% to 22% less in HP than LC-DCP constructs, with significant differences seen at 200 N and 300 N loads. In both groups, MAD was significantly greater with increasing loads (p<0.02). In addition, PPS was 37% to 43% smaller for HP than LC-DCP. Clinical significance: The mechanical advantages of the HP over the LC-DCP make it a viable alternative for PCA. Smaller CC, MAD and PSS of the HP may reduce the risk of implant failure and postoperative morbidity following PCA.