Chapter 7 - Veterinary Instrumentation

7 TRAUMA IMPLANTS & INSTRUMENTS‘T’ Plates1.5mm ‘T’ Plates For further ‘T’ Plate options, please also view our TPLO Plates. — seeprofiles page 393 Also consider our Butterfly Plates (page 199) orTitanium Mesh System (page 205) for flat bone fractures.‘T’ Plates are mainly used for distal radial fractures, but find a number ofother uses such as with cranial, pelvic or certain scapula fractures. Theyare especially useful where small fragments are involved.Our ‘T’ Plates are available in straight patterns with either two or threehead holes and as left or right cranked versions with.Despite already having a substantial range of ‘T’ Plates, we have offeredfracture advice on a number of cases over the last year where existing‘T’ Plates have appeared to have been a bit of a compromise. Wecontinue to develop our range of ‘T’ Plates to try and ‘fill-the gaps’ andpresent the most comprehensive and genuinely useful veterinary T-plateselection available.Having added a series of 1.0mm ‘T’ Plates to our range in 2012; thebiggest developments for 2013 are our 1.5mm ‘T’ Plates and our HybridAnatomical ‘T’ Plates. We have also reviewed our more establishedranges and interpolated several new and interesting options which wehope should prove useful. — see profiles page 388-389.1.0mm ‘T’ PlatesThe 1.0mm ‘T’ Plates are the babies of the range. They have beendesigned specifically for use in miniature and sub-miniature breedswhere distal radial fractures are not uncommon and with repair attemptsshowing a high incidence of non-union. Plating currently appears to bethe treatment of choice, but prior to the development of the 1.0mm ‘T’Plates, plating options for patients of this size were just not available.The 1.0mm range offers a selection of different ‘T’ Plates to cover arange of different fracture scenarios at this scale.Because of the fine thread required on screws of this size, pull-outresistance will be limited and it is advisable to use larger implantsystems (eg 1.5mm) where these can physically be fitted into theavailable space and to try and avoid in the very soft bone of immaturepatients - see profiles page 3911.5mm ‘T’ PlatesSeries ‘A’ 4.6mm between head and shaft holesSeries ‘B’ 6.6mm between head and shaft holesSeries ‘C’ 7.4mm between head and shaft holesSeries ‘C’ 9.4mm between head and shaft holesThe 1.5mm ‘T’ Plates fill the gap between the 1.0mm and 2.0mm ‘T’Plates and are ideal for many patients between about 1.5kg and 4kg —see profiles page 388.Hybrid ‘T’ PlatesHybrid ‘T’ Plates allow closer hole-spacing and the use of screws with alower screw-head profile in the head of the plate, whilst maintaininglarger screws in the shaft - see profiles page 389.‘T’ PLATES COMPRESSIONT101016 1.0mm series A 5 hole length 16mm £35.00T101020 1.0mm series A 6 hole length 20mm £35.00T101024 1.0mm series A 7 hole length 24mm £35.00T101018 1.0mm series B 5 hole length 18mm £35.00T101022 1.0mm series B 6 hole length 22mm £35.00T101026 1.0mm series B 7 hole length 26mm £35.00T101021 1.0mm series C 6 hole length 21mm £35.00T101027 1.0mm series C 7 hole length 27mm £35.00T151520 1.5mm 2 Holes Head 3 Holes Shaft 20mm Long £35.00T151525 1.5mm 2 Holes Head 4 Holes Shaft 25mm Long £35.00T1515626 1.5mm 3 Holes Head 3 Holes Shaft 26mm Long £35.00T1515731 1.5mm 3 Holes Head 4 Holes Shaft 31mm Long £35.00TPLO202026 2.0mm DCP 26mm overall length £30.00TPLO202031 2.0mm DCP 31mm overall length £30.00TPLO242434 2.4mm DCP 34mm overall length £35.00TPLO242441 2.4mm DCP 41mm overall length £35.00TPLO272739 2.7mm DCP 39mm overall length £35.00TPLO272745 2.7mm DCP 45mm overall length £35.00TPLO273539TPLO2735452.7/3.5 DCP 39mm overall lengthAllows use of 3.5 Cancellous Screw in head £35.002.7/3.5 DCP 45mm overall lengthAllows use of 2.7 and 3.5 Screws in head2.5mm thick £39.00TPLO353555 3.5mm DCP 55mm overall length £49.00TPLO353557 3.5mm DCP 57mm overall length Heavy Duty £49.00TPLO353559 3.5mm DCP 59mm overall length £49.00TPLO353562 3.5mm DCP 62mm overall length £49.00TPLO353565 3.5mm DCP 65mm overall length £49.00TPLO353577 3.5mm DCP 77mm overall length 7 holes £49.00TPLO353577X 3.5mm DCP 77mm overall length 8 holes £49.00TPLO353579 3.5mm DCP 79mm overall length Heavy Duty £53.00TPLO3545793.5/4.5 DCP 79mm overall length Heavy DutyAllows 4.5 Screws in head £53.00TPLO 3.5/4.5 DCP 79mm overall length, Heavy Duty35456579 Will accept 6.5 Cancellous Screws in head4.5mm thick £58.00TPLO 4.5mm DCP 90mm overall length45659030 Will accept 6.5 Cancellous Screws in head3.0mm thick £97.50TPLO 4.5/6.5mm DCP 90mm overall length45659035 Will accept 6.5 Cancellous Screws in head3.5mm thick £97.50TPLO 4.5mm DCP 90mm overall length45659045 Will accept 6.5 Cancellous Screws in head4.5mm thick £97.50See pages 388-389 and page 393 for ‘T’ Plate profiles.196