ALPS^® TPLO-systemet tilbyder kirurger en enkel, robust, biologisk titaniumopløsning til alle patienter, der har behov for en TPLO-operation.

ALPS^® TPLO plade er en integreret del af ALPS^® Product Range. Pladens undersides minimale kontaktdesign og foretrukne anvendelse af monokortikal KLS^™ skruer minimere vaskulær skade fremskynde heling og reducere infektionsrisiko.

KYON ALPS^® TPLO giver kirurger fordele i og ud af operationsstuen. Den konturerede form og ensartede låsemekanisme gør kirurgisk anvendelse praktisk og rutinemæssig. Biokompatible materialer og design beskytter mod infektion, hvilket fortsat er den mest almindelige komplikation forbundet med konventionelle låseplader i rustfrit stål.

ALPS^® TPLO tilbyder følgende fordele:

Eliminerer intraoperativ konturering. Med otte størrelser til legetøj til kæmpe racer er den nye pladeform optimeret til at matche TPLO-konstruktionen og anatomien.

Lav profil og glatte overgange forbedrer komforten under huden, ideel til følsomme patienter med minimal bløddæksel.

Fremstillet fra titaniumlegeringer for højeste biokompatibilitet og styrke har plader en  22% stærkere konstruktionsstyrke end konkurrenternes låseplader i rustfrit stål [1].

Kompression over osteotomi er valgfri, udført ved hjælp af en brugerdefineret boremuffe og udpeget kompressionshul

KLS^™, med en ny trådform og låsemekanisme, bruges på tværs af ALPS Product Range. KLS^™ skruer kan bruges bikortisk eller monokortisk.

[1] Seath Bleakley, biomekanisk sammenligning af TPLO udført med en ny Titanium-låseplade versus en etableret låseplade i rustfrit stål,
Præsenteret på KYON Symposium 2019, Boston, USA

Principper

Det vigtigste designmål

• Minimer vaskulær skade på både periosteum og endosteum
• Let at bruge under proceduren
• Anvendelse af biokompatible titanium- og titanlegeringer

Vaskulær skade er minimal, fordi:

• Undersiden af ALPS-plader muliggør minimal kontakt med knoglen, hvilket reducerer kompression af periosteale blodkar
• Endosteal blodtilførsel spares gennem den foretrukne anvendelse af låsende monokortikale skruer. Boredybden kontrolleres med et borestop, der begrænser vaskulær skade i medullarkanalen.

Pladen er nem at bruge, fordi:

• Den nye pladeform er optimeret til at matche TPLO-konstruktionen og anatomien
• En bred vifte af størrelser tillader brug i legetøj til kæmpe racer
• Lav profil og glatte overgange giver let dækning med minimalt blødt væv.

• ALPS^® Product Range bruger kun titanium eller titaniumlegeringer til alle dets implantater

  • Titanium og titaniumlegeringer gør det muligt for knogler og blødt væv at skabe en tæt, klæbende kontakt ved grænsefladerne, hvilket forhindrer dannelse af et væskefyldt hul - en stor risiko for såning og spredning
  • De tilbyder overlegne mekaniske egenskaber med en gunstig afvejning mellem duktilitet og styrke.

  De banebrydende fremstillingsteknologier, der anvendes af KYON-leverandører til at producere implantater og instrumenter fra ALPS^® Product Range hellig os at give dyrlæger det mest avancerede, men alligevel overkommelige pletteringssystem til rådighed.

Tekniske specifikationer

Leder du efter størrelser, varenumre eller nødvendige instrumenter eller skruer? Download vores katalog.

KATALOG

Publications

Boudrieau RJ¹.
Tibial plateau leveling osteotomy or tibial tuberosity advancement?
Vet Surg. 2009 Jan;38(1):1-22. doi: 10.1111/j.1532-950X.2008.00439.x.
¹Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, 200 Westboro Road, North Grafton, MA 01536, USA. randy.boudrieau@tufts.edu

Arnoczky SP, Marshall JL.
The cruciate ligaments of the canine stifle: an anatomical and functional analysis.
Am J Vet Res. 1977 Nov;38(11):1807-14.

Slocum B¹, Slocum TD.
Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine.
Vet Clin North Am Small Anim Pract. 1993 Jul;23(4):777-95.
¹Slocum Clinic, Eugene, Oregon.

Warzee CC¹, Dejardin LM, Arnoczky SP, Perry RL.
Effect of tibial plateau leveling on cranial and caudal tibial thrusts in canine cranial cruciate-deficient stifles: an in vitro experimental study.
Vet Surg. 2001 May-Jun;30(3):278-86.
¹Laboratory for Comparative Orthopaedic Research, College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824-1314, USA.

Reif U¹, Hulse DA, Hauptman JG.
Effect of tibial plateau leveling on stability of the canine cranial cruciate-deficient stifle joint: an in vitro study.
Vet Surg. 2002 Mar-Apr;31(2):147-54.
¹Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, Texas A & M University, College Station, TX, USA.

Moore KW¹, Read RA.
Cranial cruciate ligament rupture in the dog–a retrospective study comparing surgical techniques.
Aust Vet J. 1995 Aug;72(8):281-5.
¹School of Veterinary Studies, Murdoch University, Western Australia.

Korvick DL¹, Johnson AL, Schaeffer DJ.
Surgeons’ preferences in treating cranial cruciate ligament ruptures in dogs
J Am Vet Med Assoc. 1994 Nov 1;205(9):1318-24.
¹Department of Laboratory Animal Resources, University of Texas Health Science Center, San Antonio 78284-7859.

Conzemius MG¹, Evans RB, Besancon MF, et al.
Effect of surgical technique on limb function after surgery for rupture of the cranial cruciate ligament in dogs.
J Am Vet Med Assoc. 2005 Jan 15;226(2):232-6.
¹Orthopaedic Research Laboratory, Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, IA 50010, USA.

Giffin JR¹, Vogrin TM, Zantop T, Woo SL, Harner CD.
Effect of combined axial compressive and anterior tibial loads on in situ forces in the anterior cruciate ligament: a porcine study.
J Orthop Res. 1998 Jan;16(1):122-7.
¹Musculoskeletal Research Center, Department of Orthopaedic Surgery, University of Pittsburgh, Pennsylvania 15213, USA.

Nisell R, Ericson MO, Nemeth G, et al.
Cranial tibial wedge osteotomy: a technique for eliminating cranial tibial thrust in cranial cruciate ligament repair.
J Am Vet Med Assoc. 1984 Mar 1;184(5):564-9.

Nisell R, Németh G, Ohlsén H.
The importance of quadriceps and hamstring muscle loading on knee kinematics and in-situ forces in the ACL.
J Biomech. 1999 Apr;32(4):395-400.
¹Musculoskeletal Research Center, Department of Orthopaedic Surgery, University of Pittsburgh, PA, USA. gli@obl.bidmc.harvard.edu

Nisell R.
Complications with and owner assessment of the outcome of tibial plateau leveling osteotomy for treatment of cranial cruciate ligament rupture in dogs: 193 cases (1997-2001).
J Am Vet Med Assoc. 2003 Jun 15;222(12):1726-32.
¹Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211, USA.

Pacchiana PD¹, Morris E, Gillings SL, et al.
Complications associated with 696 tibial plateau leveling osteotomies (2001-2003)
J Am Anim Hosp Assoc. 2006 Jan-Feb;42(1):44-50.
¹Veterinary Specialty Center, Indianapolis, Indiana 46240, USA.

Shahar R, Milgram J.
Biomechanics of tibial plateau leveling
of the canine cruciate-deficient stifle joint: a theoretical
model.
Vet Surg 35:144–149, 2006

Pozzi A¹, Litzky AS, Field J, et al.
Pressure distributions on
the medial tibial plateau after medial meniscal surgery and
tibial plateau levelling osteotomy in dogs.
Vet Comp Orthop Traumatol 21:8–14, 2008
¹Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, OH, USA. pozzi.5@osu.edu

Pozzi A¹, Kowaleski MP, Apelt D, et al.
Effect of medial meniscal release on tibial translation after tibial plateau leveling osteotomy.
Vet Surg. 2006 Jul;35(5):486-94.
¹Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, OH, USA. pozzi.5@osu.edu

Kowaleski MP¹, Apelt D, Mattoon JS, Litsky AS.
The effect of tibial plateau leveling osteotomy position on cranial tibial subluxation: an in vitro study.
Vet Surg. 2005 Jul-Aug;34(4):332-6.
¹Department of Veterinary Clinical Sciences, The Ohio State University, Columbus, OH 43210, USA. kowaleski.6@osu.edu

Kowaleski MP, McCarthy RJ>
Geometric analysis evaluating the effect of tibial plateau leveling osteotomy position on postoperative tibial plateau slope.
Vet Comp Orthop Traumatol 17:30–34, 2004.

Wheeler JL¹, Cross AR, Gingrich W.
In vitro effects of osteotomy angle and osteotomy reduction on tibial angulation and rotation during the tibial plateau-leveling osteotomy procedure.
Vet Surg. 2003 Jul-Aug;32(4):371-7.
¹Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610, USA.

Talaat MB¹, Kowaleski MP, Boudrieau RJ.
Combination tibial plateau leveling osteotomy and cranial closing wedge osteotomy of the tibia for the treatment of cranial cruciate ligament-deficient stifles with excessive tibial plateau angle.
Vet Surg. 2006 Dec;35(8):729-39.
¹Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA.

Kim SE¹, Pozzi A, Banks SA, et al.
Effect of Tibial Plateau Leveling Osteotomy on Femorotibial Contact Mechanics and Stifle Kinematics
Vet Surg. 2009 Jan;38(1):23-32. doi: 10.1111/j.1532-950X.2008.00470.x.
¹Department of Small Animal Clinical Sciences, Department of Mechanical and Aerospace Engineering, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610, USA.

Carey K¹, Aiken SW, DiResta GR, et al.
Radiographic and clinical changes of the patellar tendon after tibial plateau leveling osteotomy 94 cases (2000-2003).
Vet Comp Orthop Traumatol. 2005;18(4):235-42.
¹Dept. of Surgery, The Animal Medical Centre, New York, NY, USA kimingel@yahoo.com

Robinson DA¹, Mason DR, Evans R, et al.
The effect of tibial plateau angle on ground reaction forces 4-17 months after tibial plateau leveling osteotomy in Labrador Retrievers.
Vet Surg. 2006 Apr;35(3):294-9.
¹Veterinary Orthopaedic Research Laboratory, Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, IA 50011, USA.

Lee JY¹, Kim G, Kim JH, et al.
Kinematic gait analysis of the hind limb after tibial plateau levelling osteotomy and cranial tibial wedge osteotomy in ten dogs.
J Vet Med A Physiol Pathol Clin Med. 2007 Dec;54(10):579-84.
¹Laboratory of Veterinary Surgery, College of Veterinary Medicine, Chungbuk National University, Cheong-ju 361-763, Korea.