KYON ALPS® PAUL – Proximal Abducting Ulnar Osteotomy
The ALPS® PAUL-I and ALPS® PAUL-II plates impose a corrective limb alignment aimed at unloading the medial compartment of companion animals with medial compartment disease of the elbow.
PAUL is a novel new palliative technique showing particular benefit in younger patients treated prior to the advanced stages of osteoarthritis.
ALPS® PAUL-I is the first generation PAUL plate based on ALPS® Technology.
The first generation ALPS® PAUL-I plate was invented and developed by KYON in collaboration with Dr. Ingo Pfeil in 2007.
ALPS® PAUL-II is a second generation PAUL plate. It is part of the ALPS® Product Range and thus combines the biological benefits of ALPS® Technology and the economical benefits of KYON Locking Screws KLS™.
- The implants offer strength and construct stability while minimizing damage of the vascular supply through ALPS® Technology.
- Clinically proven. More than 5,000 patients have been treated with ALPS® PAUL-I & ALPS® PAUL-II.
- Requires minimal instrumentation, consisting of drill bits, drill stops, drill sleeves, and screwdriver inserts.
PAUL Technique
Principles
The PAUL technique was developed on the basis of multiple observations and biomechanical analyses of the canine elbow joint.
- A consequence of medial compartment disease, a subset of elbow dysplasia, is medial collapse of the contact mechanics of the elbow joint.
- Medial collapse overloads the medial compartment, exacerbating existing lameness and joint pain.
- A slight abduction, by four to six degrees, of the ulna results in an unloading of the medial compartment, alleviating pain.
Procedure
A specially designed ALPS PAUL plate is fixed to impose a corrective limb alignment, aimed at unloading the medial compartment. This new alignment unloads the medial compartment, alleviating lameness, stiffness, and joint pain.
Biological principles of ALPS® Technology
- Accelerated healing through minimal contact between plate and bone.
- Use of monocortical locking screws prevents unnecessary damage of healthy bone and preserves vascular supply.
- Biocompatibility and strength from Titanium implants.
