Orthogonal bone plate stabilization for limb-sparing surgery.

Abstract

This report describes limb-sparing surgery in a 35 kg, six-year-old Hungarian Vizsla with a distal radial lytic bone lesion. Preoperative biopsy had suggested a bone cyst, however histopathology on the excised bone segment was indicative of an osteosarcoma. Following excision of the tumour, the bone defect was filled with a composite bone graft and stabilized with a custom-made dorsal 3.5/2.7 mm pancarpal arthrodesis plate and an orthogonally positioned medial 2.7 mm compression plate. This technique has not previously been described for limb-sparing procedures. No complications were encountered, and despite the owners declining adjunctive chemotherapy, the dog was alive 34 months postoperatively with near normal limb function.