Each patient must be guaranteed top-quality surgery.
Modern day surgery plays a key role in most orthopaedic disorders. A surgical approach can be of preventive or corrective value for impaired skeletal development, of therapeutic value in traumatised patients and of replacement value in prosthetic surgery.
ORTOVET applies innovative surgical protocols using high-tech materials, which are minimally invasive and respect the biological principles of healing.
Full-limb amputation is unfortunately a necessity for a series of pathologies that do not allow in dogs and cats other more conservative solutions.
Fortunately, the amputation of a single limb is a procedure well tolerated by the patient and generally provides an adequate functional outcome. Sometimes, clinical situations in which the limbs involved in pathologies and requiring amputation are more than one may occur; in these cases, amputation cannot in any way represent a real solution able to guarantee an adequate quality of life for our patients.
For these reasons, in addition to the negative perception of the owner toward amputation, limb sparing techniques are becoming increasingly popular, allowing selective amputations with the anatomical preservation of part of the affected limb.
External prosthetic limbs (esoprosthesis) applied after partial amputation are common in human medicine and are currently available for animals. Esoprostheses rely on prosthesis-skin interface to transmit the forces from the ground to the affected limb which may lead to frequent complications, including skin irritation, infections and skin necrosis; also periodic changes or adjustments are required, they can be difficult to manage and sometimes poorly tolerated by the patient.
The limitations associated with the esoprosthesis have been overcome with the use of endoprostheses called ITAP, initially developed for the amputated fingers in human medicine.
The ITAP is inserted into the bone of the limb subject to amputation. These prostheses are patient-specific custom made pure titanium implants, built with EBM technology in order to guarantee the best possible biocompatibility and osseointegration.
Each prosthesis consists of three sub-units: the first one is implanted into the bone and intended for bone ingrowth, the second one serves for the attachment of the skin and the third one, external, serves as a support for the prosthetic foot.
Primary stabilization of the prosthesis can be achieved with press fit or screws.
The external support (foot) must be functional and may have different shapes in relation to the affected skeletal segment, the patient’s attitude and body weight.
Most orthopaedic conditions in cats are of traumatic nature and since cats are small animals, often patients are polytraumatised.
Advances in the devices currently available mean that nearly all fractures in cats are treatable both with internal and external fixation techniques.
As well as modern locking plates, Ortovet uses an innovative type of synthesis: the Targon Vet ® interlocking nail, which is an osteosynthesis system used for the internal fixation of fractures. It is indicated for the treatment of fractures of long bones in cats and small dogs and is applied inside the fractured bone leading to stable fixation that makes it mechanically comparable to the latest stabilising systems. The use of this technology, which originates from human medicine, allows us to treat complex fractures that cannot be reconstructed with minimally invasive approaches and promotes functional recovery and biological healing of the fracture.