Treatment of Compound Fracture of Tibia in Dog Using Circular External Skeletal Fixator (CEF)
2
Treatment of Compound fracture of tibia in dog using Circular external skeletal fixator (CEF) 1 D.K.Dwivedi* and Mahesh Kumar Department of Surgery, Madras Veterinary College, Chennai-6 1. Present Address: Div. Of VSR,F.V.Sc & A.H. R.S.Pura SKUAST-J,Jammu-181102 * Corresponding author e-mail:[email protected] Veterinary World Vol.3(8): 378-379 CLINICAL Introduction (2002).Immediate post operative radiograph was taken to check the normal alignment of the fractured bone Fracture of Radius- ulna and Tibia- fibula is more fragments. Post- operative treatment followed for 5 common in dogs. Road traffic accidents are the days that is injection Cefazolin sodium at the dose rate principal cause of compound and complicated fractures of 20mg/ kg body weight daily. The k-wires entry and of these bones in canines due to less soft tissue exist points were cleaned with hydrogen peroxide and coverage around these bones (Phillips,1979). dressed with povidone iodine. The dog was closely The circular external skeletal fixators has created observed up to 60th post-operative days. interest in the area of small animal orthopaedics because of some limitations of conventional surgical Results and Discussion methods. Internal fixation using implant is not preferred In present case the animal started bearing weight in compound fractures with sepsis. External skeletal partially while walking just after one day of surgery but fixation is preferred in fresh as well infected compound marked limping noticed. This observation is in fractures (Marcellin-Little, 1999).This report describes agreement with the findings of Ferreti (1991). During the treatment of compound fracture of tibia-fibula using the third week onwards the dog was able to bear weight ring fixators. on the operated limb with minimal limping and full Case History and Observation weight bearing from eight week onwards without any pain. This finding is in agreement with findings of A non-descript bitch aged about 6 years Ferretti (1991) and Marcellin –little (1999).Painful signs weighing 19.7 kg was brought to orthopaedic unit of on palpation of bone near wire sites was noticed after Madras veterinary College, Chennai with history of fourth post –operative week. The pain could be due to road traffic accident. On physical examination the loose wires when the wires were tightened there was general body condition of the animal was found to be gradual loss of pain. This result correlates with the normal. Clinical examination revealed non- weight findings of Chaudhari et. al. (2000).The subsequent bearing on the right tibia with fractured bone fragment post-operative radiograph revealed that the fractured exposed to outside environment. Radiological bone was healed with moderate amount of callus and examination revealed complete oblique fracture of the apparatus was removed after 60th post operative distal third of right tibia. Accordingly, treatment was day and advised to restrict the activity for additional 2 planned by using Circular External Skeletal Fixator weeks. This is in agreement Ferretti (1991).During post (CEF). operative period pin tracts discharge noticed from all Treatment: Under necessary pre-operative prepara- the pin tracts upto 10 POD, which subsequently tion and dissociative anesthesia, first of all the subsided. Similar findings were also reported by fractured fragments were reduced to normal alignment Marcellin-Little (1999). Joint stiffness, muscle atrophy, by closed reduction method. The ring fixator consisting venous congestion of the paws, delayed union, mal- of two full and one 5/8 aluminium 100mm diameter union not observed during the treatment period, which rings, six k-wires of 1.6mm diameter each and six are common complications of conventional methods of connecting rods each of 100mm length was assembled treatment. to immobilize the fractured fragments as advocated by References Ilizarov (1989).The partial ring was placed with its opening on the flexion side of the joint. The six k-wires 1. Chaudhari, M.M., Ganesh, T.N., and Archibald David, were introduced as described by Kakkad W.P., (2000): Indian J.vet. Surg., 21(1): 39-40. www.veterinaryworld.org Veterinary World, Vol.3 No.8 August 2010 378
-
Upload
bharathi-dasan -
Category
Documents
-
view
2 -
download
0
description
Treatment of Compound Fracture of Tibia in Dog Using Circular External Skeletal Fixator (CEF)
Transcript of Treatment of Compound Fracture of Tibia in Dog Using Circular External Skeletal Fixator (CEF)
-
Treatment of Compound fracture of tibia in dog using Circular external skeletal fixator (CEF)
1 D.K.Dwivedi* and Mahesh Kumar
Department of Surgery,Madras Veterinary College, Chennai-6
1. Present Address: Div. Of VSR,F.V.Sc & A.H. R.S.Pura SKUAST-J,Jammu-181102* Corresponding author e-mail:[email protected]
Veterinary World Vol.3(8): 378-379 CLINICAL
Introduction (2002).Immediate post operative radiograph was taken to check the normal alignment of the fractured bone Fracture of Radius- ulna and Tibia- fibula is more fragments. Post- operative treatment followed for 5 common in dogs. Road traffic accidents are the days that is injection Cefazolin sodium at the dose rate principal cause of compound and complicated fractures of 20mg/ kg body weight daily. The k-wires entry and of these bones in canines due to less soft tissue exist points were cleaned with hydrogen peroxide and coverage around these bones (Phillips,1979). dressed with povidone iodine. The dog was closely The circular external skeletal fixators has created observed up to 60th post-operative days.interest in the area of small animal orthopaedics
because of some limitations of conventional surgical Results and Discussionmethods. Internal fixation using implant is not preferred In present case the animal started bearing weight in compound fractures with sepsis. External skeletal partially while walking just after one day of surgery but fixation is preferred in fresh as well infected compound marked limping noticed. This observation is in fractures (Marcellin-Little, 1999).This report describes agreement with the findings of Ferreti (1991). During the treatment of compound fracture of tibia-fibula using the third week onwards the dog was able to bear weight ring fixators. on the operated limb with minimal limping and full Case History and Observation weight bearing from eight week onwards without any
pain. This finding is in agreement with findings of A non-descript bitch aged about 6 years Ferretti (1991) and Marcellin little (1999).Painful signs weighing 19.7 kg was brought to orthopaedic unit of on palpation of bone near wire sites was noticed after Madras veterinary College, Chennai with history of fourth post operative week. The pain could be due to road traffic accident. On physical examination the loose wires when the wires were tightened there was general body condition of the animal was found to be gradual loss of pain. This result correlates with the normal. Clinical examination revealed non- weight findings of Chaudhari et. al. (2000).The subsequent bearing on the right tibia with fractured bone fragment post-operative radiograph revealed that the fractured exposed to outside environment. Radiological bone was healed with moderate amount of callus and examination revealed complete oblique fracture of the apparatus was removed after 60th post operative distal third of right tibia. Accordingly, treatment was day and advised to restrict the activity for additional 2 planned by using Circular External Skeletal Fixator weeks. This is in agreement Ferretti (1991).During post (CEF).operative period pin tracts discharge noticed from all Treatment: Under necessary pre-operative prepara- the pin tracts upto 10 POD, which subsequently tion and dissociative anesthesia, first of all the subsided. Similar findings were also reported by fractured fragments were reduced to normal alignment Marcellin-Little (1999). Joint stiffness, muscle atrophy, by closed reduction method. The ring fixator consisting venous congestion of the paws, delayed union, mal-of two full and one 5/8 aluminium 100mm diameter union not observed during the treatment period, which rings, six k-wires of 1.6mm diameter each and six are common complications of conventional methods of connecting rods each of 100mm length was assembled treatment.to immobilize the fractured fragments as advocated by ReferencesIlizarov (1989).The partial ring was placed with its
opening on the flexion side of the joint. The six k-wires 1. Chaudhari, M.M., Ganesh, T.N., and Archibald David, were introduced as descr ibed by Kakkad W.P., (2000): Indian J.vet. Surg., 21(1): 39-40.www.veterinaryworld.org Veterinary World, Vol.3 No.8 August 2010 378
-
2. Ferreitti, A. (1991): In operative principle of Ilizarov, concepts and advances, CBS orthopaedic Series, pp.Ist American Edn. William and Wilkins, pp 551-570. 39-95.
3. Ilizarov, G.A. (1989): Clinical Orthopaedic and Related 5. Marcellin-Little, D.J. (1999): Veterinary Clinics of North Research. 238: 249-281. America: Small animal Practice, 29: 1153-1170.
4. Kakkad, S. (2002): Ilizarov operative techniques. Basic 6. Phillips, I.R.(1979):J. Small Anim. Pract. 20:661-674.
Treatment of Compound fracture of tibia in dog using Circular external skeletal fixator (CEF)
********
www.veterinaryworld.org Veterinary World, Vol.3 No.8 August 2010 379
