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DePuy Synthes Vet has the following new product offerings:

 

Mini TPLO  

 

DePuy Synthes Vet has expanded the TPLO system with the new Mini TPLO Jig and 2.0mm and 2.4mm TPLO Plates. The Mini TPLO Jig is designed specifically for your 2.0mm, 2.4mm and 2.7mm size TPLO cases and helps to maintain stability and limb alignment.  The Jig can be positioned with great versatility to best suit a broad range of patient anatomy.

 

Mini TPLO Features: 

  • Optimized size based on 2.0mm, 2.4mm and 2.7mm cases
  • 45 degree jig pin screw orientation for more access to plate head holes
  • Tear drop jig pin hole hold 1.6mm - 2.5mm k-wires
  • Vibration resistant hinge screws
  • T6 StarDrive jig pin screw 

 

Plate Features:

  • Available in right and left versions 
  • Uses either conventional or locking screws
  • Precontoured for anatomic fit
  • Plate head specifically designed to engage more bone
  • Plate head holes angled away from articular surface and osteotomy for optimal locking screw placement

 

TPLO Jig Catalog Description

TPLO Plate Catalog Description

 

 


 

2.0mm and 2.4mm Titanium Locking Reconstruction Plates

 

DePuy Synthes Vet has introduced 2.0mm and 2.4mm Ti Reconstruction Plates. The 2.0mm Titanium Locking Reconstruction Plate (launched in 2000) and 2.4mm Titanium Locking Reconstruction Plate (launched in 1996) was developed by DePuy Synthes CMF and was first published in Veterinary Surgery in 2004.  This technology has been published in the following applications:
 
  • Pelvic fractures
  • Mandible fractures
  • Spine fractures and stabilization
  • Arthrodesis
  • Long bone fractures

 

These systems have the following features:

  • Titanium
  • Low profile
  • Contourable in three dimensions
  • Cuttable
  • Available up to 24 holes
  • Each hole accepts cortex or locking screws
 
 

 


www.TPLOAnswers.com

 

DePuy Synthes Vet is proud to announce the launch of a website dedicated to educating pet owers about tibial plateau leveling osteotomy procedures. The website, which can be access at www.TPLOanswers.com, includes resources for your clients from the time they suspect the injury through postoperative care.

 

The website also includes the following features:

  • Information about the stifle anatomy
  • Questions to ask your surgeon
  • Medicine checklist download
  • What to expect after surgery
  • Patient stories  

 


 

3.5mm Small TPLO Plate

 
DePuy Synthes Vet has expanded the TPLO Plate system with the new 3.5mm Small TPLO Plate.
 
  • New size between the 2.7mm and 3.5mm TPLO Plates
  • Shortened length and smaller head
  • Uses either conventional or locking screws
  • Precontoured for anatomic fit
  • Plate head specifically designed to engage more bone
  • Plate head holes angled away from articular surface and osteotomy for optimal locking screw placement
 

 

 

LCP Notched Head T-Plate

 
DePuy Synthes Vet has expanded the Locking Compression Plating system with the new LCP Notched Head T-Plate.

  • Available in 2.0 mm, 2.4 mm and 2.7 mm sizes
  • 2-hole T-shaped head enables placement of screws closer to a joint
  • Notched design allows contouring
  • 7-hole shaft can be cut to length, to fit different anatomies
 

 


 

3.5mm LC-DCP Plate
3.5mm Broad LC-DCP Plate

 
The LC-DCP plates are part of the DePuy Synthes Vet Small Fragment LC-DCP Plate System.  The plates are available in stainless stell and have a limited-contact profile.  The 3.5 LC-DCP plates accept 3.5mm cortex screws.

Features:
  • Tapered end allows minimally invasive placement
  • Centrally located round hole at one end for metaphyseal fracture repair
  • Limited-contact underside preserves vascularity and allows smooth plate contouring
 

 


 

3.5mm LCP Plates

 
The LCP plates are part of the DePuy Synthes Vet Small Fragment LCP Plate System.  The 3.5mm LCP plates accept 3.5mm locking screws, or 4.0mm cancellous bone screws.

Features:
  • Tapered end allows minimally invasive placement
  • Combi hole design allows conventional or locking screws
  • Centrally located stacked Combi hole at one end for metaphyseal fracture repair
  • Limited-contact underside preserves vascularity and allows smooth plate contouring
 

 


 

4.5mm Narrow and Broad LCP Plates

 
The LCP plates are part of the DePuy Synthes Vet Small Fragment LCP Plate System.  The 4.5mm LCP plates accept 4.5mm cortex screws, 4.0mm locking screws, 5.0mm locking screws or 6.5mm cancellous bone screws.

Features:
  • Tapered end allows minimally invasive placement
  • Combi hole design allows conventional or locking screws
  • Centrally located stacked Combi hole at one end for metaphyseal fracture repair
  • Limited-contact underside preserves vascularity and allows smooth plate contouring
 

 


 

4.5mm Narrow LCP Plate for Proximal Interphalangeal Arthrodesis

 

Features:
  • Elongated section between distal hole and 1st proximal, for spacing over joint
  • Two proximal combi holes both compress towards the pastern joint
 

 


 

Standard TPLO Jig and Saw Guides

 
The Standard TPLO Jig and Saw Guide are designed for use while performing a Tibial Plateau Leveling Osteotomy in the canine proximal tibia. 
 

Standard TPLO Jig

  • Can be positioned with great versatility to best suit each patient
  • Maintains stability and limb alignment
  • Vibration-resistant hinge screws eliminate component loosening during surgery
  • Works with DePuy Synthes Small Battery Drive (Set 103.550) and Crescentic Saw Blades (03.000.390 – 03.000.396)
 
Saw Guides
  • Can be positioned on the jig with great versatility to provide optimal osteotomy positioning
  • Stabilize and guide the saw
  • Eliminate chatter and walking of the saw blade
  • Available in three different radii: 24 mm, 27 mm and 30 mm
  • Designed for use with DePuy Synthes Crescentic Saw Blades
 
 

 


 

Large Oscillating Saw Attachment and Blades

 

The Large Oscillating Saw Attachment for Small Battery Drive is a specially designed saw attachment for performing a crescentic saw cut, e.g. while performing a Tibial Plateau Leveling Osteotomy in the canine proximal tibia. 

Features:

  • Specially designed saw attachment for tibial plateau leveling osteotomies and dome osteotomies
  • Seven saw blades, with radii ranging from 12mm to 30mm (12 / 15 / 18 / 21 / 24 / 27 / 30)
  • Simple and stable connection of the saw blade into the saw attachment
  • Thin saw blades offer excellent cutting performance and minimal bone removal (cutting thickness is 0.6mm)
  • Compatible with DePuy Synthes TPLO System

 

Large Oscillating Saw Attachment and Blades Brochure
Small Battery Drive User's Manual

 


 

Small Battery Drive Set

The Small Battery Drive Set is specially designed for smaller autoclaves.  The power system is composed of the essential items needed for most orthopedic trauma applications, including drilling, sawing, inserting K-wires, and screwing. 

Features:  

  • Light and ergonomic
  • Compact battery driven power tool
  • One power system for most orthopedic applications
  • 14.4 V battery is recommended for use with the Large Oscillating Saw Attachment
  • Compact case size fits most tabletop autoclaves

 

Large Oscillating Saw Attachment and Blades Brochure
Small Battery Drive User's Manual

 


 

2.0 mm/1.5mm LC-DCP Plates
2.4mm/2.0mm LC-DCP Plates
2.7mm LC-DCP Plates 

The DePuy Synthes Vet LC-DCP Plates are part of the DePuy Synthes Vet Small Fragment and Mini Fragment LC-DCP System. The plates are available in stainless steel and have a limited-contact profile. The 2.0mm/1.5mm LC-DCP plates accept 1.5mm or 2.0mm cortex screws. The 2.4mm/2.0mm plates accept 2.0mm or 2.4mm cortex screws and the 2.7mm plates accept 2.7mm cortex screws. 

 

Features:

  • Tapered end allows minimally invasive placement
  • Centrally located round hole at one end for metaphyseal fracture repair
  • Limited-contact underside preserves vascularity and allows smooth plate contouring

 

Mini Fragment System Brochure
Small Fragment System Brochure

Catalog Description

 


 

2.0 mm/1.5mm LCP Plates
2.4mm LCP Plates 
2.7mm LCP Plates

The DePuy Synthes Vet LCP Plates are part of the DePuy Synthes Vet Small Fragment and Mini Fragment LCP System. The plates are available in stainless steel and have a limited-contact profile. The 2.0mm/1.5mm LCP plates accept 1.5mm cortex screws, 2.0mm cortex screws or 2.0mm locking screws. The 2.4mm LCP plates accept 2.0mm cortex screws, 2.4mm cortex screws or 2.4mm locking screws and the 2.7mm LCP plates accept 2.7mm cortex or locking screws.

Features:

  • Tapered end allows minimally invasive placement
  • Combi hole design allows conventional or locking screws
  • Centrally located stacked Combi hole at one end for metaphyseal fracture repair
  • Limited-contact underside preserves vascularity and allows smooth plate contouring

 

Mini Fragment System Brochure
Small Fragment System Brochure


Catalog Description

 


 

Large Fragment Set

The DePuy Synthes Vet Large Fragment Set offers 4.5mm and 5.5mm implants for treating fractures in large animals. The system is composed of two plate sets: one for storing standard LC-DCP Plates (4.5mm) and one for storing locking plates (4.5mm/5.5mm). The screws are stored in three separate screw racks: one for 5.5mm cortex screws, one for 4.5mm cortex and 6.5mm cancellous Screws and a third for 4.0mm and 5.0mm locking screws. The instruments are stored in a separate compact size graphic case suitable for table-top autoclaves.

Features:

  • Compatible with DCP, LC-DCP and LCP plating systems  
  • Compact case sizes fit most tabletop autoclaves
  • Instrument case has space to hold locking instruments and an auxiliary storage bin


Included in this system is the release of the 5.5mm Broad LCP Plate.


Features:

  • Tapered end allows minimally invasive placement
  • Combi hole design allows conventional or locking screws
  • Centrally located stacked combi hole at one end for metaphyseal fracture repair
  • Limited-contact underside preserves vascularity and allows smooth plate contouring

 

Large Fragment System Brochure
Catalog Description

 


 

Clamp and Rod Internal Fixation (CRIF) System

The DePuy Synthes Vet Clamp and Rod Internal Fixation System is a modular implant system for veterinary use only and is composed of three components: clamps, rods and screws.  The rods can be cut to length and contoured in any plane. Standard screws fix the rod to the bone via special clamps. Together, these form a unique internal construct that provides great versatility to the surgeon. 

Features:

  • Three sizes available: mini, small and medium
  • Utilizes standard cortical and cancellous screws
  • Can be used with open or minimally invasive techniques
  • Versatile system require less inventory
  • Rods can be cut to length
  • Rods can be contoured in multiple planes for optimal anatomic fit
  • Clamps can be positioned anywhere on the rod
  • Clamps can be rotated to either side of the rod to allow optimal screw placement

 

CRIF Technique Guide

Catalog Description

 


 

3.5 mm Broad LCP Plate

 

The DePuy Synthes Vet 3.5mm Broad LCP Plate is part of the DePuy Synthes
Vet Small Fragment LCP System.  The 3.5mm Broad LCP Plates are available in stainless steel and have a limited-contact profile.  The 3.5mm Broad Plates accept 3.5mm Locking Screw and 3.5mm Cortex Screws in the Combi holes and 3.5mm Locking Screws, 3.5mm Cortex Screws and 4.0mm
Cancellous Screws in the distal stacked Combi hole. 

 

Features:

  • Tapered end allows minimally invasive placement 
  • Combi hole design allows conventional or locking screws
  • Centrally located stacked Combi hole at one end for metaphyseal fracture repair
  • Limited-contact underside preserves vascularity and allows smooth plate contouring

 

Small Fragment System Brochure

Catalog Description

 


 

Mini Fragment Set

The DePuy Synthes Vet Mini Fragment Set offers 1.5mm, 2.0mm and 2.4mm implants for treating fractures in small animals.  The system is composed of two implant modules: one for storing standard implants (1.5mm/2.0mm/2.4mm) and one for storing locking implants (2.0mm/2.4mm).  The instruments are stored in a separate compact size graphic case suitable for table-top autoclaves.

Features:
 

  • Compatible with DCP, LC-DCP and LCP plating systems
  • Cases are organized in general order of use
  • Compact case size fit most tabletop autoclaves 
  • Instrument case has space to hold locking instruments and an auxiliary storage bin
  • Implant module stores a full range of plates

 

Mini Fragment System Brochure


Catalog Description

 


 

Tibial Plateau Leveling Osteotomy (TPLO) Plates

 

The DePuy Synthes TPLO Plate has many similarities to existing bone fixation plates, with several important improvements. The plate can use either standard screws or locking screws.  If locking screws are employed then it creates a fixed-angle construct.  The plate is prebent with an anatomic contour, improving fit and saving time.

Features:

 

  • Available in three sizes: 2.7mm, 3.5mm and 3.5mm Broad
  • Uses either conventional or locking screws
  • Precontoured for anatomic fit
  • Plate head specifically designed to engage more bone
  • Plate head holes angled away from articular surface and osteotomy for optimal locking screw placement

 

TPLO Plate Technique Guide
Catalog Description

 


 

Small Fragment Plate Set Graphic Case

The DePuy Synthes Small Fragment Plate Set Graphic Case [690.511] contains spaces for 2.7mm, 3.5mm and 3.5mm Broad DCP, LC-DCP, and LCP Plates.

Features:

  • Designed to fit most tabletop autoclaves (360 mm L x 140 mm W x 90 mm H)
  • Case is compatible with DCP, LC-DCP and LCP plating systems
  • Two lightweight, stackable trays in one graphic case

 

Small Fragment System Brochure

Catalog Description

 


 

Small Fragment Instrument Set 

 

The Graphic Case [690.591] for the Small Fragment Instrument Set [103.503] stores all the standard instruments for implanting 2.7mm and 3.5mm DePuy Synthes plates and screws in animals. It accommodates both compression and locking screws in DCP, LC-DCP, and LCP plating systems. [photo of 103.503]


Features:

  • Case holds both standard and locking instrumentation for 2.7mm and 3.5mm plating
  • Three lightweight, stackable trays in one graphic case 
  • Organized in general order of use
  • Designed to fit most tabletop autoclaves (360mm L x 140mm W x 125mm H) 
  • System is compatible with DCP, LC-DCP and LCP plating systems

 

Small Fragment System Brochure
Small Fragment Instrument Sets Brochure

Catalog Description

 


 

Small Fragment Screw Set

 

The graphic case for the Small Fragment Screw Set [103.515] contains the 2.7mm, 3.5mm and 4.0mm cortex, cancellous and locking screws required for both compression and locked plating.


Features

  • Graphic case [690.515] holds two lightweight screw racks
  • One screw rack [690.593] contains 2.7mm and 3.5mm  locking screws  
  • One screw rack [690.592] contains 2.7mm, 3.5mm and 4.0mm standard compression screws 
  • Designed to fit most tabletop autoclaves (268mm L x 250mm W x 85mm H)
  • System is compatible with DCP, LC-DCP and LCP plating systems 
  • Ideal for all canine fractures and TPLO procedures

 

Small Fragment System Brochure
Small Fragment Screw Sets Brochure

 

Catalog Description

*DCP, LC-DCP and LCP are registered trademarks of DePuy Synthes, Inc.

 


 

 

Abstracts for 2.0mm and 2.4mm Ti Locking Reconstruction Plates
Repair of long-bone fractures in cats and small dogs with the Unilock mandible locking plate system
Voss K, Kull MA, Haessig M, Montavon PM
VCOT, 2009
Objectives: To retrospectively evaluate stabilisation of long-bone fractures in cats and small dogs using the Unilock system. Methods: Medical histories and radiographs of consecutive patients with long-bone fractures stabilised with the Unilock system were reviewed. Cases with follow-up radiographs taken at least four weeks postoperatively were included. Signalment of the patient, fracture localisation and type, primary fracture repair or revision surgery, single or double plating, and complications for each patient were noted. Additionally, implant size, number of screws, number of cortices engaged with screws, and number of empty holes across the fracture were evaluated in fractures where a single plate had been applied. Results: Eighteen humeral, 18 radial, 20 femoral, and 10 tibial fractures were treated. The Unilock system was used for primary repair in 44 fractures and for revision surgery in 22 fractures. Two plates were applied in 17 fractures, and a single plate was applied in 49 fractures. Follow-up radiographs were taken four to 109 weeks postoperatively. Complications were seen in 12 animals and 13 fractures (19.7%). Fixation failure occurred in seven fractures (10.6%). Cases with a single plate that suffered fixation failure had thinner screws in relation to bone diameter than cases with double plates, and more screws in a main fragment than those without fixation failure. Clinical significance: The Unilock system is a suitable implant for fracture fixation of long bones in cats and small dogs.
 
 

Mandibular reconstruction after gunshot trauma in a dog by use of recombinant human bone morphogenetic protein-2
Lewis JR, Boudrieau RJ, Reiter AM, Seeherman HJ, Gilley RS
 
JAVMA, 2008
Case Description—A 6-year-old German Shorthaired Pointer was evaluated for possible reconstruction of a mandibular defect resulting from gunshot trauma. Clinical Findings—A 5-cm defect of the right mandibular body was evident. A segment of the mandibular body was removed 9 weeks earlier because of severe contamination and comminution associated with gunshot trauma. Subsequent right-sided mandibular drift resulted in malocclusion in which the left mandibular canine tooth caused trauma to mucosa of the hard palate medial to the left maxillary canine tooth. The right maxillary canine tooth caused trauma to gingiva lingual to the right mandibular canine tooth. Treatment and Outcome—The right mandible was stabilized with a 2.0-mm maxillofacial miniplate positioned along the lateral alveolar margin and a 2.4-mm locking mandibular reconstruction plate placed along the ventrolateral mandible. An absorbable compressionresistant matrix containing collagen, hydroxyapatite, and tricalcium phosphate was soaked in recombinant human bone morphogenetic protein-2 (rhBMP-2; 7.2 mL of a 0.5 mg/mL solution for a dose of 3.6 mg) and placed in the defect. By 4 weeks after surgery, an exuberant callus was evident at the site of the defect. By 7 months after surgery, the callus had remodeled, resulting in normal appearance, normal occlusion, and excellent function of the jaw. Clinical Relevance—Mandibular defects resulting from gunshot trauma can be treated by removal of contaminated tissue and comminuted bone fragments, followed by staged reconstruction. The combination of rhBMP-2 and compression-resistant matrix was effective in a staged mandibular reconstruction in a dog with a severe traumatic mandibular defect.
 
 
Immediate mandibular reconstruction of a 5 cm defect using rhBMP-2 after partial mandibulectomy in a dog.
Spector DI, Keating JH, Boudrieau RJ.
 
Vet Surgery, 2007
Objective— To report treatment of a complex odontoma of the mandible by partial mandibulectomy and immediate surgical reconstruction using bridging plate fixation with a synthetic graft. Study Design— Clinical case report. Animals— A 4-year-old male castrated cocker spaniel. Methods— Immediate reconstruction of the left mandible (5 cm gap) was performed after complete excision of a complex odontoma. Locking plate fixation was applied immediately before complete excision of the mass. Fixation was removed, then after partial mandibulectomy, including all abnormal tissue, restored to achieve occlusion. The resulting mandibular defect was filled with recombinant human bone morphogenetic protein-2 (rhBMP-2) delivered in an absorbable collagen sponge containing hydroxyapatite/tricalcium phosphate granules (compression resistant matrix [CRM]). Results— New bone growth was evident radiographically and on palpation at 3 months. Bony remodeling was evident during follow-up examinations up to 26 months. Bone collected by biopsy at the graft site at 7 months had robust new bone formation and evidence of continued remodeling. Only minor complications (repeated intraoral plate exposure) were encountered postoperatively and were easily resolved. Conclusions— An osteoinductive factor (rhBMP-2/CRM) was successfully used as a graft substitute in immediate reconstruction of a large mandibular defect. Clinical Relevance— Immediate reconstruction of large mandibular defects with osteoinductive materials as a graft substitute may be a viable alternative to partial mandibular resection or radiation therapy for benign odontogenic tumors in dogs.
 

 
Use of the ComPact UniLock System for ventral stabilization procedures of the cervical spine: a retrospective study.
Voss K, Steffen F, Montavon PM.
VCOT, 2006
This study evaluates clinical application of the ComPact UniLock system for ventral stabilization of the cervical spine. Patient material included 13 consecutive cases, 12 dogs and one cat, with cervical spinal instabilities secondary to disc-associated wobbler syndrome (six dogs), traumatic, iatrogenic, and disc-associated cervical spinal instability of small dogs (four cases), cervical spinal fractures (one dog and one cat), and congenital atlantoaxial instability (one dog). The 2.0 system was used in smaller patients and the 2.4 system was applied in large dogs. Implant failure was observed on follow-up radiographs in one dog with a healed C2 fracture and screw pullout occurred in one dog with caudal cervical spondylomyelopathy, necessitating revision surgery. Implants remained stable throughout the follow-up period in the other cases. 'Good' or 'excellent' clinical outcome was achieved in 12 patients, including the dog with revision surgery. One dog had to be euthanatized due to postoperative deterioration of neurological status and development of pneumonia. The ComPact UniLock system was found to be a suitable implant for treating cervical instabilities of different origin in both small and large patients with lesions from C1/C2 to C6/C7. Some problems were encountered in the dogs with disc-associated Wobbler syndrome, such as lack or slow rate of vertebral fusion and partial collapse of the distracted intervertebral space on follow-up radiographs. A lack of adequate fusion was most likely related to grafting techniques used.
 
 
The ComPact UniLock 2.0/2.4 system and its clinical application in small animal orthopedics.
Keller MA, Voss K, Montavon PM.
VCOT, 2005
This study describes the titanium ComPact UniLock 2.0/2.4 locking plate system (Stratec Medical, Oberdorf, Switzerland) and reports its application in nine selected clinical cases. The system was found useful for a variety of indications. Three categories of clinical applications are illustrated. They include (a) long bone fractures, (b) cervical spinal fractures and instabilities and (c) joint instabilities and luxations. A brief introduction to the system has already been published.
 
 

Mandibular Reconstruction of a Partial Hemimandibulectomy in a Dog with Severe Malocclusion
Boudrieau RJ, Mitchell SL, Seeherman H
 
Vet Surgery, 2004
Objective— To report treatment of severe mandibular malocclusion (after left partial hemimandibulectomy, 7 cm gap). Study Design— Clinical report. Animals— A 14-month-old golden retriever. Methods— After corrective osteotomy of the right horizontal mandibular ramus, normal occlusion was reestablished and temporarily maintained while both mandibles were stabilized by miniplates on the lateral alveolar surface spanning the bilateral mandibular defects (right=1.5 cm, left=7 cm). A fenestrated, monocortical rib graft was positioned beneath the left gingival surface to protect the synthetic graft, which was secured to the miniplate. A mandibular reconstruction plate (right) and a locking mandibular reconstruction plate (left) were secured to the ventral borders of the mandibles. Recombinant bone morphogenetic protein-2 delivered in collagen tricalcium phosphate sponges (rhBMP-2 collagen-TCP sponge) was inserted into both mandibular defects. Results— New bone formation was identified at 3 months and bony remodeling was evident at recheck examinations up to 4 years. Scintigraphy (6 months, 1 year) confirmed graft revascularization and viability. Bone collected (1 year) from the left defect site had robust new bone formation and evidence of continued remodeling. Only minor complications were encountered during the postoperative period and were easily resolved. Conclusions— Reconstruction of a large mandibular defect was facilitated by use of an osteoinductive factor (rhBMP-2 collagen-TCP sponge) as a graft substitute. Clinical Relevance— One-step salvage and reconstruction facilitated by use of an osteoinductive factor, as a graft substitute, may be an alternative strategy for repair of large mandibular defects.