In Vitro Performance Testing of Two Arcuate Oscillating Saw Blades Designed for Use During Tibial Plateau Leveling Osteotomy

Farrell, Michael; Mathieson, Andrew; Chung, Peter; Heller, Jane; Clarke, S.; McDonald, Mary Kate; Cardoni, Andrea

doi:10.1111/j.1532-950x.2011.00855.x

Cited by 12 publications

(9 citation statements)

References 29 publications

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“…The curvilinear saw produced by Synthes is thinner and has a uniform thickness across its width. The cutting performance of these 2 designs have been shown to vary in efficiency and durability, with the Synthes saw shown to be more efficient in cutting and the Slocum saw more durable. A saw of uniform width was also shown to generate less heat than a Slocum biradial saw .…”

Section: Discussionmentioning

confidence: 99%

Accuracy of Tibial Osteotomy Placement Using 2 Different Tibial Plateau Leveling Osteotomy Jigs

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Accuracy of Tibial Osteotomy Placement Using 2 Different Tibial Plateau Leveling Osteotomy Jigs

et al. 2014

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“…Additionally, the absence of macrovibrations, typical of rotary or oscillating instruments, make piezosurgery an advanced osteotomy technique especially suited for oral and maxillofacial applications. However, as piezo-surgical osteotomies take longer compared to conventional techniques [9], improvements have been introduced for bone cutting saw blades to provide faster, yet safe, and accurate osteotomy gaps [10].…”

Section: Introductionmentioning

confidence: 99%

Healing of osteotomy sites applying either piezosurgery or two conventional saw blades: a pilot study in rabbits

Stübinger

Liu

et al. 2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to compare bone healing of experimental osteotomies applying either piezosurgery or two different oscillating saw blades in a rabbit model. Methods The 16 rabbits were randomly assigned into four groups to comply with observation periods of one, two, three and five weeks. In all animals, four osteotomy lines were performed on the left and right nasal bone using a conventional saw blade, a novel saw blade and piezosurgery. Results All three osteotomy techniques revealed an advanced gap healing starting after one week. The most pronounced new bone formation took place between two and three weeks, whereby piezoelectric surgery revealed a tendency to faster bone formation and remodelling. Yet, there were no significant differences between the three modalities. Conclusions The use of a novel as well as the piezoelectric bone-cutting instrument revealed advanced bone healing with a favourable surgical performance compared to a traditional saw.

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“…Thorough lavage was carried out while performing the osteotomy to try to limit this potential effect. Two relatively recent veterinary studies showed that the potential for bone thermal damage in tibial osteotomies never reached critical duration of damaging temperatures and that use of saline irrigation produced no significant effect on peak cutting temperatures 17,18 . Whether lavage is indicated during creation of the osteotomy during PAUL to limit thermal damage to the bone is a potential area for further study.…”

Section: Discussionmentioning

confidence: 99%

“…Whether lavage is indicated during creation of the osteotomy during PAUL to limit thermal damage to the bone is a potential area for further study. Similarly, use of a sharp saw blade is widely advocated during performance of osteotomy procedures, with excessive blade wear from re‐use in multiple procedures having the potential to increase temperature at the cutting interface 18 . Within our case series we did not record data regarding whether a new oscillating saw blade was used for each procedure, or whether saw blades were re‐used in some individuals, and given the clinical nature of the study, we did not make any attempt to measure temperature at the saw‐to‐bone interface intraoperatively.…”

Section: Discussionmentioning

confidence: 99%

Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

Danielski

Krekis²,

Yeadon³

et al. 2021

Veterinary Surgery

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Objective To report complications and prognostic factors in dogs undergoing proximal abducting ulnar osteotomy (PAUL). To evaluate the ability to predict complications on the basis of post‐operative radiographic examination. Study Design Retrospective cohort study. Animals Sixty‐six dogs. Methods Medical records of dogs treated with PAUL between 2014 and 2019 were reviewed for demographics, intraoperative findings, and post‐operative complications. Post‐operative radiographs were reviewed by two masked expert orthopedic surgeons, who were asked to predict the likelihood of major mechanical complications. The prognostic value of variables was tested with univariate and multivariable logistic regression. Inter‐investigator agreement to predict complications was evaluated with two‐by‐two tables and kappa coefficient. Results Seventy‐four PAULs in 66 dogs were included. Duration of follow‐up ranged from 12 to 75 months (median: 53 months). Post‐operative complications were documented in 19/74 limbs (16 dogs), including major complications in 13 limbs. These complications consisted mainly of non‐union (six limbs), implant failure (two limbs), and infection (two limbs) requiring revision surgery in nine limbs. Body weight was the only variable associated with an increased risk of post‐operative complications (p = .04). Agreement between expert predictions was low (respectively k = −0.08 and k = 0.11). Conclusion Major complications were reported in one fourth of limbs treated with PAUL and were more likely as body weight increased. Suboptimal plate and screw placement or osteotomy reduction on post‐operative radiographs were poorly predictive of complications. Clinical Significance Complications are fairly common after PAUL, particularly in heavier dogs, and post‐operative radiographic examination seems unreliable to predict those.

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In Vitro Performance Testing of Two Arcuate Oscillating Saw Blades Designed for Use During Tibial Plateau Leveling Osteotomy

Abstract: Our results favor the Synthes blade in terms of cutting performance and the Slocum blade in terms of wear resistance.

Cited by 12 publications

References 29 publications

Accuracy of Tibial Osteotomy Placement Using 2 Different Tibial Plateau Leveling Osteotomy Jigs

Accuracy of Tibial Osteotomy Placement Using 2 Different Tibial Plateau Leveling Osteotomy Jigs

Healing of osteotomy sites applying either piezosurgery or two conventional saw blades: a pilot study in rabbits

Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

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