Effect Upon Longitudinal Growth of Femur by Intramedullary Nailing in Rats

Bjerkreim, Ingjald; Langård, O

doi:10.3109/17453678308996585

Cited by 4 publications

(1 citation statement)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the use of intramedullary devices carries potential risks, such as damage to the cranial part of the proximal physis, which can lead to early closure and the development of abnormal tibial plateau angles. Currently, based on available information, it is advisable to avoid the use of intramedullary devices in the management of juvenile tibial diaphyseal fractures ( Bjerkreim and Langård, 1983 ). Retrieving the device later in life may be challenging, and it appears to be an excessive amount of hardware for achieving the ultimate goal of rapid fracture healing, minimal discomfort for the animal, and excellent long-term functional outcomes.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive percutaneous elastic plate osteosynthesis as a treatment option for tibial diaphyseal fracture in skeletally immature dogs

Berg,

vik

2023

Open Vet J

View full text Add to dashboard Cite

Background: Paediatric fractures are relatively common in dogs, and several treatment options exist, particularly for fractures in the distal extremities. Regardless of choice of treatment, the overall goal is rapid restoration and excellent long-term functional recovery, with minimal discomfort and morbidity during healing. This case series aims to report the long-term outcome after minimally invasive percutaneous elastic plate osteosynthesis (MIPEPO) in the treatment of paediatric tibial fractures in dogs and compare this to other treatment options, where all techniques emphasize on biological osteosynthesis. We especially accentuate surgery time, patient comfort level during osteosynthesis, time to clinical union, complications, including long-term follow-up. Case Description: Medical records of five skeletally immature (juvenile) dogs <6 months old with an isolated tibial diaphyseal fracture or a combination of tibial and fibular diaphyseal fractures, treated with MIPEPO aided by fluoroscopy. All dogs experienced excellent levels of comfort and limb functionality and exhibited preserved muscle mass throughout the healing process. The mean duration until plate removal was 27.6 days, standard deviation ((SD) ±9.61; range, 15-36 days) following the operation. Subsequently, four dogs underwent a follow-up examination approximately 1.5 years after plate removal, during which bilateral orthogonal radiographs of the tibia were obtained. These radiographs revealed minimal discrepancies in terms of limb length, frontal plane alignment, and rotational alignment. Furthermore, the owners expressed complete satisfaction with their dogs' recovery and restoration of intended function. Conclusion: MIPEPO is quick to perform and well tolerated, with rapid fracture healing in juvenile dogs and excellent long-term outcomes. It can be considered along with external fixators and external coaptation when dealing with juvenile diaphyseal fractures.

show abstract

Section: Discussionmentioning

confidence: 99%