Efficacy and safety of the long-term oral administration of carprofen in the treatment of osteoarthritis in dogs

The aim of this study conducted in France was to confirm the efficacy and safety of the oral administration of carprofen (Rimadyl®) at 4 mg/kg once a day during four months in the treatment of clinically chronic osteoarthritis in dogs. One hundred and ten dogs with chronic clinical signs of osteoarthritis were enrolled. The overall severity of the osteoarthritis condition and the clinical signs of osteoarthritis were assessed using visual analogue scales (VAS) on days 0, 5, 30, 60, 90 and 120. During the same visits, owners were asked to perform their own efficacy assessment through the grading of seven parameters using categorical scales. Hematological analyses were performed on days 0 and 120. Clinical blood chemistry evaluations were performed on days 0, 5, 60 and 120. The percentage of dogs showing a positive treatment effect increased from 12% on day 5 to 74% on day 120. The mean VAS scores significantly decreased throughout the study (P ≤0.05). Gastrointestinal undesirable effects likely to be related to carprofen but with no harmful consequences were observed in 5% of treated dogs. No detrimental effects of the treatment on haematological, renal and hepatic parameters were observed. These results show that carprofen at 4 mg/kg once daily can be safely used over a 4 month period in the treatment of osteoarthritis in dogs and provides a steadily increasing improvement of the clinical signs

Comparison of the effect of locking vs standard screws on the mechanical properties of bone-plate constructs in a comminuted diaphyseal fracture model

The purpose of this study was to compare the mechanical properties of bone-plate constructs with locking compression plates (LCP) used either with standard screws or with locking screws on an experimental model of comminuted fracture

Biomechanical comparison of two locking plate constructs under cyclic torsional loading in a fracture gap model

OBJECTIVES: The number of locking screws required per fragment during bridging osteosynthesis in the dog has not been determined. The purpose of this study was to assess the survival of two constructs, with either two or three screws per fragment, under cyclic torsion. METHODS: Ten-hole 3.5 mm stainless steel locking compression plates (LCP) were fixed 1 mm away from bone surrogates with a fracture gap of 47 mm using two bicortical locking screws (10 constructs) or three bicortical locking screws (10 constructs) per fragment, placed at the extremities of each LCP. Constructs were tested in cyclic torsion (range: 0 to +0.218 rad) until failure. RESULTS: The 3-screws constructs (29.65 ± 1.89 N.m/rad) were stiffer than the 2-screws constructs (23.73 ± 0.87 N.m/rad), and therefore, were subjected to a greater torque during cycling (6.05 ± 1.33 N.m and 4.88 ± 1.14 N.m respectively). The 3-screws constructs sustained a significantly greater number of cycles (20,700 ± 5,735 cycles) than the 2-screws constructs (15,600 ± 5,272 cycles). In most constructs, failure was due to screw damage at the junction of the shaft and head. The remaining constructs failed because of screw head unlocking, sometimes due to incomplete seating of the screw head prior to testing. CLINICAL SIGNIFICANCE: Omitting the third innermost locking screw during bridging osteosynthesis led to a reduction in fatigue life of 25% and construct stiffness by 20%. Fracture of the screws is believed to occur sequentially, starting with the innermost screw that initially shields the other screws

Ex vivo cyclic mechanical behaviour of 2.4 mm locking plates compared with 2.4 mm limited contact plates in a cadaveric diaphyseal gap model

OBJECTIVES: To compare the mechanical properties of locking compression plate (LCP) and limited contact dynamic compression plate (LC-DCP) constructs in an experimental model of comminuted fracture of the canine femur during eccentric cyclic loading. METHODS: A 20 mm mid-diaphyseal gap was created in eighteen canine femora. A 10-hole, 2.4 mm stainless steel plate (LCP or LC-DCP) was applied with three bicortical screws in each bone fragment. Eccentric cyclic loadings were applied at 10 Hertz for 610,000 cycles. Quasistatic loading / unloading cycles were applied at 0 and 10,000 cycles, and then every 50,000 cycles. Structural stiffness was calculated as the slope of the linear portion of the load-displacement curves during quasistatic loading / unloading cycles. RESULTS: No bone failure or screw loosening occurred. Two of the nine LCP constructs failed by plate breakage during fatigue testing, whereas no gross failure occurred with the LC-DCP constructs. The mean first stiffness of the LCP constructs over the course of testing was 24.0% lower than that of constructs stabilized by LC-DCP. Construct stiffness increased in some specimens during testing, presumably due to changes in bone-plate contact. The first stiffness of LC-DCP constructs decreased by 19.4% and that of locked constructs by 34.3% during the cycling period. A biphasic stiffness profile was observed: the second stiffness was significantly greater than the first stiffness in both groups, which allowed progressive stabilization at elevated load levels. CLINICAL SIGNIFICANCE: Because LCP are not compressed to the bone, they may have a longer working length across a fracture, and thus be less stiff. However, this may cause them to be more susceptible to fatigue failure if healing is delayed

Effective mechanical properties of diaphyseal cortical bone in the canine femur

The effective elastic modulus, yield strength, yield strain, ultimate strength, ultimate strain, strain energy density at yield and strain energy density at ultimate failure of femoral diaphyseal cortical bone were investigated on canine femurs. Four femurs representative of the canine population were selected from four statistically-determined clusters based on increasing size and weight comprising the Toy poodle (5 kg), Poodle (12 kg), German shorthaired pointer (25 kg) and Doberman (50 kg). The zones of interest were the lateral, medial, cranial, and caudal quadrants of the mid-diaphysis. Effective mechanical properties were measured using quasi-static three-point bending tests on strips. The averages +/- SD were 15.6 +/- 2.6 GPa for effective elastic modulus, 1743 +/- 32.1 MPa for yield strength, 0.012 +/- 0.003 for yield strain, 251.0 +/- 49.1 MPa for ultimate strength, 0.021 +/- 0.005 for ultimate strain, 10.7 +/- 4.0 J m(-3) x 10(5) for strain energy density at Yield and 33.0 +/- 14.1 J M-3 X 10(5) for strain energy density at ultimate failure. Significant differences were found between dogs and the effective elastic modulus increased with breed weight and size (13.9 GPa for the Toy poodle to 17.2 GPa for the Doberman). The ultimate strength sigma(u) and strain energy density at ultimate failure U-u were significantly lower in the Toy poodle than in the Poodle and German shorthaired pointer indicating that the cortical bone material in the Toy poodle differed from that of the other dogs. Examination of the zones of interest revealed that the cranial quadrant showed the greatest stiffness, whereas strength was highest at the medial site. The caudal cortex was less stiff and strong than the cranial cortex

Comparaison des Propriétés Mécaniques en Flexion 4 Points des Plaques Vissées pour Vis de 3,5 et 4,5 mm

Comparaison des Propriétés Mécaniques en Flexion 4 Points des Plaques Vissées pour Vis de 3,5 et 4,5 m

Vis verrouillées vs vis standard : étude ex vivo de montages pontant une fracture comminutive diaphysaire

La cicatrisation des fractures comminutives diaphysaires constitue une préoccupation majeure en orthopédie vétérinaire, vu leur incidence élevée, leur fort taux de complications et le défi thérapeutique que leur traitement constitue. L’un des implants les plus récents pour l’ostéosynthèse de pontage de telles fractures est la plaque de compression à verrouillage (LCP), utilisable avec des vis standard ou des vis verrouillées. Malgré les quelques études cliniques et biomécaniques comparant les plaques LCP avec vis verrouillées à d’autres types de plaque (DCP, LC-DCP), l’avantage réel des vis verrouillées demeure inconnu et non quantifié. Le but de cette étude est de comparer les propriétés mécaniques de montages par plaques LCP équipées de vis standard ou verrouillées, pontant un modèle de fracture comminutive diaphysaire

Nanoanalytical Electron Microscopy Reveals a Sequential Mineralization Process Involving Carbonate-Containing Amorphous Precursors

A direct observation and an in-depth characterization of the steps by which bone mineral nucleates and grows in the extracellular matrix during the earliest stages of maturation, using relevant biomineralization models as they grow into mature bone mineral, is an important research goal. To better understand the process of bone mineralization in the extracellular matrix, we used nanoanalytical electron microscopy techniques to examine an in vitro model of bone formation. This study demonstrates the presence of three dominant CaP structures in the mineralizing osteoblast cultures: <80 nm dense granules with a low calcium to phosphate ratio (Ca/P) and crystalline domains; calcium phosphate needles emanating from a focus: “needle-like globules” (100–300 nm in diameter) and mature mineral, both with statistically higher Ca/P compared to that of the dense granules. Many of the submicron granules and globules were interspersed around fibrillar structures containing nitrogen, which are most likely the signature of the organic phase. With high spatial resolution electron energy loss spectroscopy (EELS) mapping, spatially resolved maps were acquired showing the distribution of carbonate within each mineral structure. The carbonate was located in the middle of the granules, which suggested the nucleation of the younger mineral starts with a carbonate-containing precursor and that this precursor may act as seed for growth into larger, submicron-sized, needle-like globules of hydroxyapatite with a different stoichiometry. Application of analytical electron microscopy has important implications in deciphering both how normal bone forms and in understanding pathological mineralization