Fusion Implants

The Ramus Anatomical Plate (RAP) system was developed through detailed analysis of CT scans of feline mandibles, resulting in six anatomically contoured, compression plates designed to match the variability of caudal mandibular anatomy.

➡️ Plate profile based on CT analysis of 32 cats so that plate require no or minimal contouring.

➡️Pre-contoured plate profile facilitates accurate fracture reduction resulting in the re-establishment of normal occlusion and jaw function.

➡️Screw holes positioned to maximise the use of the best bone purchase at the leading edge of the ramus and the ventral cortex of the body of the mandible.

➡️Low profile 1.5mm Ti6Al4V Alloy screws used to avoid soft tissue impingement

Tibial-plateau-levelling osteotomy
Product Information Page Now Live!
With Surgical Protocols and TPLO Demonstration Video
https://www.fusionimplants.com/product-information/stifle/tplo-overview-page/

Fusion Implants TPLO plates are anatomically designed based on post-TPLO bone morphology and matched to osteotomy blade radius, with sizes derived from population clustering and manufactured from medical-grade Ti-6Al-4V using advanced 3D printing and finishing processes.

Successful TPLO relies on careful preoperative planning, including accurate radiographic measurement of the preoperative TPA, selection of a blade radius and corresponding Fusion plate, and a target postoperative TPA of approximately 5°.

The procedure involves thorough stifle assessment and meniscal management, precise radial osteotomy ex*****on, controlled rotation to neutralise tibial thrust, and temporary stabilisation before plate placement. Standard layered closure is performed following lavage and pes anserinus reattachment, with implant and screw selection guided by Fusion’s compatibility and body-weight recommendations.

➡Fusion Implants TPLO plates are anatomically designed based on post-TPLO bone morphology and matched to osteotomy blade radius

➡Fusion plates require minimal contouring due to their anatomic design

➡3 locking screw holes proximally, and in the distal segment have 2x dynamic compression holes and 1x locking holes from sizes 12-24

➡4 locking screw holes proximally, and in the distal segment have 2x dynamic compression holes and 2x locking holes at size 27

TPLO Course, June 2027

We strongly encourage Veterinary Surgeons and Registered Veterinary Nurses (RVNs) to attend together.

RVNs are instrumental in achieving excellent clinical outcomes and play a vital role throughout the TPLO process.

From patient admission and client communication, to surgical preparation, anaesthesia, post-operative care, and ward management, RVNs are key members of the orthopaedic team.

Attending as a pair also enables the RVN to share their knowledge with the wider practice team, helping you to successfully introduce or expand your TPLO caseload. Please email us to enquire about availability and book your surgical team onto the course as a pair.

Read more about out TPLO Course running in June 2027. Too book on, email [email protected]

https://www.fusionimplants.com/courses/

This course is aimed at surgeons who wish to offer TPLO as a treatment option for patients with cranial cruciate ligament failure.

https://www.fusionimplants.com/courses/

Course Description

This course is aimed at surgeons with experience in small animal orthopaedics, who wish to offer TPLO as a treatment option for patients with cranial cruciate ligament failure. The course will cover the biomechanical rationale and evolution of the TPLO technique, case-selection and surgical planning, surgical approach and ex*****on, post-operative care and evaluation, and the identification, minimisation and management of complications. Course content will be delivered through a combination of didactic presentations, case-based discussions, and dry-lab and wet-lab practicals.

Key learning objectives:

-The biomechanical rationale of TPLO
-Skills in the practical ex*****on of TPLO
-The accurate and repeatable planning of TPLO
-Identifying and treatment of complications

Course content will be delivered through a combination of didactic presentations, case-based discussions, dry-lab and wet-lab practicals.

In a 2023 study, French bulldogs were found to be at above average risk of elbow fractures while young, compared with spaniels, which are predisposed to the injury in adulthood.

https://www.ed.ac.uk/research-innovation/animal-research/news/french-bulldogs-puppies-prone-to-elbow-fractures

CT scans from French bulldogs were compared with those of spaniel breeds, which are known to be susceptible to a similar injury, to understand whether the fractures might have similar causes. They found that both breeds commonly had naturally intracondylar fissures, which may predispose them to fractures in the bone. Both breeds also commonly had scarring, or sclerosis, in the affected bone.

This is one of the reasons we chose to make a medial and lateral elbow anatomical plate that was based on biomedical data for French Bulldogs.

This ‘small’ French Bulldog Lateral Elbow Anatomical Plate (LEAP) and Medial Anatomical Plate (MAP) can also be used in puppies and other smaller breeds. We also have a ‘large’ LEAP and MAP based on English Springer Spaniels, due to their high occurrence of humeral intracondylar fissures and associated fractures. This ‘Large’ MAP and LEAP can be used in medium to large breed dogs.

https://www.fusionimplants.com/product-information/elbow/leap-overview/

https://www.fusionimplants.com/product-information/elbow/map-overview-page/

French Bulldogs pose a unique anatomical challenge to surgical fixation and our plates are based on CT Scan data to ensure they are a close fit to the topography of the bone, saving surgical time, and reducing anaesthesia time; minimizing the need to contour implants for these complicated fractures.

This course is aimed at surgeons with experience in managing humeral condylar fracture (HCF) and humeral intracondylar fissure (HIF), who wish to deepen their understanding of the aetiopathogenesis, biology and biomechanics these conditions, and develop their clinical decision-making and practical skills. Course content will be delivered through a combination of didactic presentations, case-based “fireside” discussions, and wet-lab practicals.

https://www.fusionimplants.com/courses/

Key Learning Objectives

-Improved knowledge of current literature regarding aetiopathogenesis, natural history, and treatment options for HIF in predisposed breeds, including Spaniels and French bulldogs.

-Improved practical skills in surgical approaches to the humeral condylar fractures.

-Understanding and practical application of strategies for managing chronic condylar fractures, malunion condylar fractures and complex dicondylar fractures.

-Understanding and practical application of strategies for managing complications of HIF and HCF

-Use of anatomic bone plates for the humeral condyle, and the humeral intracondylar stabilisation and repair system

Lateral Epicondylar Anatomic Plate

Product Information Page Now Live with Surgical Protocols and Videos
https://www.fusionimplants.com/product-information/elbow/leap-overview/

Fusion implants mapped the topography of humeri of English Springer Spaniels (ESS) and French Bulldogs (FBD) to create the design of three versions of the Lateral Epicondylar Anatomic Plate (LEAP) – FBD LEAP, ESS Short, ESS Long.

We investigated the configuration of fractures, and optimised screw hole position and screw direction to maximise bone holding, and minimise the risk of joint pe*******on.

Each Fusion LEAP is crafted from medical-grade titanium alloy (Ti6Al4V) in a multi-step manufacturing process starting with 3D printing and including heat treatment, CNC machining, and anodisation.

The final products have undergone a rigorous quality control process giving you confidence that you are using a product of cutting edge innovation and premium quality.

➡Locking screw fixation with predefined screw trajectories, aligned along validated safe corridors

➡Short and long plate options available to accommodate a range of fracture configurations

➡Three plate variants available — FBD LEAP, ESS Short, and ESS Long — developed from French Bulldog and English Springer Spaniel CT datasets and suitable for small- to medium-sized dogs within this size category

📢 We have an announcement… SAVE THE DATES! 📢

Fusion Surgical Summit Week 2027 is booked!
🗓 14–18 June 2027

Join us for an incredible week of advanced surgical education with multiple courses running throughout the week — attend 1 day, 2 days, three days, or a full week!

📍 Courses Running Concurrently

🗓 14–15 June
• Decompressive Spinal Surgery (2 Days)
• Instrumented Spinal Surgery (2 Days)

🗓 16 June
• Ramus Anatomic Plate Course
(Maxillofacial Trauma & Surgical Techniques) (1 Day)
• Feline Pelvic Trauma (1 Day)

🗓 17–18 June
• Advanced Humeral Condyle (2 Days)
• TPLO Wet Lab
(Tibial Plateau Levelling Osteotomy) (2 Days)

💡 Discounts Available!
We offer a variety of discounts including:
✔ Early Bird (book by 31/12/26)
✔ Group Discounts
✔ Multi-Course Discounts
✔ Loyalty Discounts

📧 Contact [email protected] to discuss your options and secure your place.

In person lectures, dry lab & wet lab covering maxillofacial trauma and our Ramus Anatomic Plate

https://www.fusionimplants.com/courses/

Featuring 3D printed Mandibles, Fusion RAP (Ramus Anatomic Plate), Wet Lab Practicals including; Transmylohyoid intubation & Implant placement.

Each delegate on the course will be assigned a cadaver. The mandible will have fractures prior to the course and they will be assigned a number, all cadavers are CT scanned before the course. Mirrored versions of the intact mandible will be 3D printed and embossed with the fracture configuration from the intact contralateral side, these models will be used to help with planning, templating and placement of RAP for the final wet lab practical of the day.

Ramus Anatomic Plate

The Ramus Anatomical Plate (RAP) system was developed through detailed analysis of CT scans of feline mandibles, resulting in six anatomically contoured, compression plates designed to match the variability of caudal mandibular anatomy.

A case series of 13 feline caudal mandibular fractures treated using the RAP system demonstrated consistent and favourable outcomes. All cases achieved accurate anatomical reduction with restoration of functional, atraumatic occlusion, and no intraoperative complications were reported.

Radiographic follow-up (minimum 8 weeks) confirmed stable fixation, with no implant failure or screw loosening, and complete osseous union in all cases. Time to voluntary food intake ranged from as little as 1 day post-operatively, with many patients able to resume eating shortly after surgery.

Postoperative complications were minimal and manageable, with the most common being localised swelling. Isolated cases included transient exophthalmos and minor wound complications, both resolving with appropriate treatment.

This technique represents an advancement over traditional management methods, which often rely on prolonged dental bonding and fixation, preventing solid food intake for several weeks. In contrast, the RAP system enables early return to function, with patients often able to resume eating as early as the day following surgery.

Overall, the RAP system provides reliable rigid fixation with a low complication rate, delivering favourable clinical and radiographic outcomes in the management of these challenging fractures.

Read more in: ‘Use of a novel three-dimensional anatomical plating system for treatment of caudal mandibular fractures in cats: 13 cases (2019–2023)’

https://www.fusionimplants.com/product-information/mandible-2/rap-overview-page-2/