VetTips: Locking Plates

Tip 1:

Surgical Approaches to the humerus are technically demanding because of important neurovascular structures on the lateral and medial aspects of the bone and a large amount of surrounding musculature. Many options are suitable for fracture fixation and the decision making is based around the following considerations:
– type of fracture
– patient age, size and nature
– surgeons experience
– implants available
– expense of the procedure

Tip 2:

Whether by choice or necessity any time the diaphysis is not anatomically reconstructed, the plate becomes responsible for resisting the applied load. It must be able to withstand all forces at the fracture gap until clinical healing is achieved.

Tip 3:

The principle behind locking plates is the creation of a construct which addresses motion between the bone and plate that occurs with conventional plating. Conventional plates loaded axially in tension/ or compression rely on applied force to convert to shear stress at the plate-bone interface which compromises periosteal blood flow and healing. Locking plates try to address this to overcome problems, especially in patients with osteoporotic, comminuted or pathologic bone because problems arise with screw purchase.

Want to learn more about locking plates?

JOIN US at the Internal Fixation: Fractures with Locking Plates workshop.

Locking plates are the most significant advancement in orthopedic surgery in the last 25 years. Are you using locking plates? If not, is it because you do not understand the concepts or applications of these devices? Hopefully, this workshop will provide you with something that will make your surgical life easier and more predictable. Locking plates combine the best features of rigid internal fixation and external fixation. There are many uses for this and you will see the advantages locking plates have to offer in this excellent two day practical workshop. This workshop is specially designed for vets who need skills training on basic fracture repair or for any vet with limited experience in the use of locking plates.

Fractures with Locking Plates Workshop
17th – 18th Nov
Charles Sturt University
Wagga Wagga NSW

View the brochure HERE
Register NOW

There is no surgery that she can’t fix or face….Meet Dr. Orly Zemer

The pursuit of helping animals is worldwide and the compilation of specialists coming together to help general practitioners learn more couldn’t be more welcomed by VetPrac. Dr. Orly Zemer, a Small Animal Surgery Specialist, has focused her life around fixing animals. Trying to embrace the “no worries” state of mind, Dr. Zemer is relocating her life from Israel to Australia to join the University of Melbourne, U-Vet Werribee Animal Hospital to lecture the student in surgery and act as the attending small animal surgeon. VetPrac is excited help welcome her into the country and show her the Auzzie way when she joins us at the upcoming Fix the Face workshop this November!

Orly has wanted to be a doctor since she was young. She shares with us “I examined my dolls, fixed their broken arms (thanks to my brother who broke them) and gave them medicines.  When I grew up, I realised that I am better off treating animals rather than dolls or people. One of the challenges in veterinary medicine revolves around the fact that animals don’t talk or complain, therefore you have to be more thorough and meticulous when approaching a sick animal”. In the pursuit to fulfil this, Dr. Zemer obtained her BSc in Animal Science and then her DVM in 2006 from the Hebrew University of Jerusalem. Surgery and emergency were always her passion. After serving 3 years as an Emergency and Critical Care doctor, she decided to gain knowledge and training in surgery. Orly states “Both are combined fields in medicine, accomplishing instant satisfaction in ‘fixing’ those that need to be fixed”.

As a new diplomat, there are lots of new challenges from treating unique cases and performing vanguard surgeries! Dr. Zemer gets to perform a variety of procedures each day and she is quite fond of thoracic surgery and orthopedics. She also really loves teaching, “transferring my knowledge and experience to the next generation of veterinary is a mission I believe in with all of my heart” says Orly.  She enjoys that you have to be up to date with the latest literature and research, confronting questions and alternative ways of thinking, expanding one’s perspective into directions never considered before.

After a long day at work, Orly has a houseful of love to come home to. Her husband is her biggest influence in life (although it may be safer if her doesn’t know that or he’ll never stop bragging about it)….and her three children keep her young at heart.  She also has two wonderful fur babies.. Batya (which translates to “daughter of god” in Hebrew) is their perfect 2 year old Border Collie and Malka (which means “queen” in Hebrew) is their 4 year old DSH cat.

Dr. Zemer has many practical tips which she has learned from her mentors and colleagues over the years. Some of which are “take your time”, “an incision heals from side to side and not from one end to the other”, and “handle the tissues as it was your own”….She’s got a few more under her sleeve but you’ll have to come hear them in person at the Fix the Face Workshop!  Click HERE to register.

Thank you Dr. Orly Zemer for being part of the VetPrac team of educators.

Written by Alena Felkai.

He Puts The ‘Special’ in Specialist.. Meet Dr. Charles Kuntz

Everyone finds inspiration in different forms. Some will be inspired after attending a VetPrac workshop, while others will find it in a painting, or reading an article. For Dr. Kuntz it came to him from his father, a human cardiovascular surgeon, who would often discuss his latest cases. Although Charles’ father ignited an interest, it wasn’t until Charles took his dog to the local Vet School for treatment that he began his journey and asked to volunteer… and from that day forward history was in the making.

Following a series of academic achievements, including graduating from the University of Florida College of Veterinary Medicine in 1990, in 2004 Charles founded Southpaws Specialty Surgery for Animals. There you’ll find a team comprised of specialists, diplomats, registrars, residents and interns all working together to provide gold standard care. While much of Dr. Kuntz’s work there has been focused on surgical oncology. He explains, “I find surgical oncology really challenging. No two cases are the same. It gives you insight to anatomy that you don’t get with conventional surgeries. Also, in contrast to some other surgeries, the quality of the surgery really affects the outcome, with life and limbs consequences.”

Dr. Kuntz notes one of his favourite surgeries to perform is brain surgery. He says “it pushes me technically, and I get to play with expensive toys.” Next on the list he says is spinal surgery, followed closely by anything in the thorax, then adrenalectomy “preferable invading the vena cava”.

With extensive history and experience within the industry, Dr. Kuntz will be leading the team at the “Fix the Face” workshop this November. There he will share with us his charm, expertise and surgical techniques. Charles says the best advice he has received is “always find three things you could have done better in each surgery” and VetPrac couldn’t agree more. We hope that by attending these workshops, you to will gain some insight and get those pointers to succeed in surgery. Dr. Kuntz says “I do a lot of brachycephalic airway surgeries. Those would be the most common. That is a situation wherein the perioperative care has as much impact on the outcome as the actual surgery. We feel that we have maximised the outcomes with these cases with perioperative care.”

Come meet Dr. Charles Kuntz and learn from the legend himself at VePrac’s Fix the Face Workshop. Click HERE for more information.

Written by Alena Felkai.

Contact information:
Charles Kuntz
Southpaws Specialty Surgery for Animals
3 Roper Street
Moorabbin, VIC 3189
03 9553 1775
Can vets contact you? Yes