The effects of plate type, angle of ilial osteotomy, and degree of axial rotation on the structural anatomy of the pelvis.
Unilateral triple pelvic osteotomy was performed with three variations in technique on canine cadaver pelves. The following variables were studied: the angle of the ilial osteotomy (perpendicular to the long axis of the ilium and 10 degrees, 20 degrees, and 30 degrees off perpendicular); the degree of axial rotation (20 degrees, 30 degrees, and 45 degrees); and the type of fixation (canine pelvic osteotomy plate [CPOP] or a 2.7-mm dynamic compression plate [DCP]). Structural changes measured were the pelvic inlet and acetabular area, interischiatic tuberosity distance, and degree of acetabular version. Means and standard error of the means were determined for all pelvic measurements and were analyzed by three-way analysis of variance (P < .05). As the axial rotation increased from 20 degrees to 45 degrees an ilial osteotomy angled 10 degrees, 20 degrees, or 30 degrees resulted in a significantly greater decrease in the pelvic inlet area and significantly less deviation of the interischiatic tuberosity distance and degree of acetabular version from normal than an osteotomy directed perpendicular to the long axis of the ilium. Compared with the CPOP, as the axial rotation increased from 20 degrees to 45 degrees, the DCP resulted in a significantly greater decrease in the pelvic inlet area, an increase in the interischiatic tuberosity distance and degree of acetabular version, and less of an increase in the acetabular area. The results of this study suggest that to maximize dorsal acetabular coverage, while minimizing disruption of normal pelvic architecture, a CPOP and an ilial osteotomy angled 10 degrees to 30 degrees are preferred for all degrees of axial rotation.
Graehler
R A
RA
Department of Urban Practice, College of Veterinary Medicine, University of Tennessee, Knoxville 37901-1071.
Weigel
J P
JP
Pardo
A D
AD
D000077:Acetabulum / Q000033:anatomy & histology; D000818:Animals; D001860:Bone Plates / Q000662:veterinary*; D004285:Dogs / Q000601:surgery*; D007085:Ilium / Q000601:surgery*; D007512:Ischium / Q000601:surgery; D010027:Osteotomy / Q000662:veterinary*; D010384:Pelvic Bones / Q000033:anatomy & histology* / Q000601:surgery; D011630:Pubic Bone / Q000601:surgery; D011897:Random Allocation