Correction of Excessive Tibial Plateau Angle and Limb Shortening in a Juvenile Dog Using a Hinged Circular Fixator Construct and Distraction Osteogenesis

Figure 4

Photograph of the left pelvic limb obtained immediately following surgery. The stretch ring and associated fixation wires stabilized the plateau segment. The hinges, attached directly to the proximal ring, were placed to position the hinge axis through the apex of the tibial tuberosity. One of the two angular motors which were used to perform the distraction is visible caudolaterally. The second, caudomedial motor cannot be seen in this photograph. Half-pins were placed cranial and medial on the distal ring to improve construct stability while minimizing postoperative morbidity.