Staff Surgeon / Owner;Surgeon Sirius Veterinary Orthopedic Center / Small Animal Surgery Locum PLLC Omaha, Nebraska
Fractures of the tibial tuberosity (TT) can be divided into three grades. While low-grade avulsions of the TT can be treated conservatively, higher grades typically require surgical treatment. Proximal tibial physeal fractures are usually Salter-Harris type I or II fractures. Traditionally, all those fractures were treated using an open approach, but based on the advantages of minimally invasive osteosynthesis (MIO) and increased availability of intraoperative fluoroscopy, a paradigm shift in treatment approach is occurring. Following reviews of TT development in the immature dog and publications on proximal tibial growth plate fracture, this lecture explains the MIO approach for proximal tibial growth plate fractures using several case examples, including addressing complications of those fractures with classic or MIO technique.