Proximal tibial metaphyseal fractures in immature dogs

Deahl, Lauren; Ben‐Amotz, Ron; Cáceres, Ana V.; Agnello, Kimberly A.

doi:10.3415/vcot-16-11-0154

Cited by 6 publications

(13 citation statements)

References 27 publications

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“…[5][6][7][8] Small breed dogs, particularly terriers, seem predisposed to the latter. 5,[7][8][9][10] This association of fractures has been reported in dogs aged between 3.5 and 8 months. 7,9,10 The typical distocaudal displacement of the proximal segment is of concern as it is accompanied by subsequent increased tibial plateau angle.…”

Section: Introductionmentioning

confidence: 59%

“…5,[7][8][9][10] This association of fractures has been reported in dogs aged between 3.5 and 8 months. 7,9,10 The typical distocaudal displacement of the proximal segment is of concern as it is accompanied by subsequent increased tibial plateau angle. This predisposes to increased stress on the cranial cruciate ligament, possibly leading to its rupture.…”

Section: Introductionmentioning

confidence: 59%

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Use of Epiphysiodesis as Treatment for a Proximal Physeal Tibial Fracture in a Dog

et al. 2019

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Objective The aim of this study was to describe the use of epiphysiodesis by the means of a screw to treat a proximal tibial Salter–Harris II fracture associated with a tibial tuberosity avulsion in a 4.5-month-old Airedale Terrier. Study design A healing proximal tibial epiphyseal fracture was observed after a 10-day period. Tibial plateau angle was 40°. The fracture was treated by the insertion of a fluoroscopy-guided 3.5-mm cancellous screw. Results Successful healing of fractures and levelling of tibia plateau were obtained. Final tibial plateau angle was 8°. At long-term follow-up (18 months), owners reported sustained and full functional recovery. Conclusion Prior to ossification of the proximal tibial physis, epiphysiodesis with a screw can be used as a treatment of sub-acute, moderately displaced, Salter–Harris I or II fractures.

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Section: Introductionmentioning

confidence: 59%

Section: Introductionmentioning

confidence: 59%

Use of Epiphysiodesis as Treatment for a Proximal Physeal Tibial Fracture in a Dog

et al. 2019

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“…Until recently, it had been suggested that fractures of the proximal tibial metaphysis were exclusive to mature animals secondary to severe trauma [ 6 – 8 ]. However, Deahl et al reported the occurrence of proximal tibial metaphyseal fractures (PTMF) in juvenile dogs (mean age 4.6 months) following minimal trauma [ 9 ]. Most commonly, PTMF manifest in a characteristic curvilinear configuration ( Fig 1 ).…”

Section: Introductionmentioning

confidence: 99%

“…Most commonly, PTMF manifest in a characteristic curvilinear configuration ( Fig 1 ). The authors of that study suggested that the transition from diaphyseal to metaphyseal bone and the immature or transition zone of the metaphysis play a role in the development of this fracture configuration [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical and medical management in the treatment of proximal tibial metaphyseal fracture in immature dogs

Sullivan¹,

Zuckerman

James³

et al. 2022

PLoS ONE

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The purpose of this study was to report approaches to surgical and medical management of proximal tibial metaphyseal fractures (PTMF) and short-term case outcome. Medical records of immature dogs with PTMF were reviewed and data were collected including history, signalment and side affected. Data pertaining to surgical and medical management including radiographic evaluation and short-term complications were recorded. Forty-five dogs with a total of 47 PTMF identified and treated between 2007–2019 were included in this study. Six cases were managed with external coaptation alone. Forty-one cases were treated surgically with constructs including K-wires in different configurations, bone plate and screws, and external skeletal fixation. Of the cases managed conservatively, 4 developed complications, including bandage sores, diffuse osteopenia of the tarsus/metatarsus, and angular limb deformities. Surgical complications including pin migration necessitating removal, osteopenia, and screw placement in the proximal tibial growth plate or into the stifle joint were found in 16 cases. PTMF treated with surgery had a subjectively more predictable outcome compared to those treated with external coaptation alone. Conservative management may result in complications including development of excessive tibial plateau angle (TPA) as well as distal tibial valgus.

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“…To begin with, you can read how developments in diagnostic imaging and computer modelling provide new tools to investigate joint motion and to develop better methods of treating joint disease (1,2). Of course, imaging is also critical in clinical practice for the development and planning of minimally invasive surgery, as well as in reshaping our classification of certain fractures, such as those of the proximal tibia (3)(4)(5). Furthermore there are studies that ask questions about the stabilization of tibial osteotomy, correction of medial patellar luxation, and rehabilitation of dogs following limb amputation (6)(7)(8).…”

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confidence: 99%

Questioning the status quo

Johnson¹

2017

Vet Comp Orthop Traumatol

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Proximal tibial metaphyseal fractures in immature dogs

Cited by 6 publications

References 27 publications

Use of Epiphysiodesis as Treatment for a Proximal Physeal Tibial Fracture in a Dog

Use of Epiphysiodesis as Treatment for a Proximal Physeal Tibial Fracture in a Dog

Surgical and medical management in the treatment of proximal tibial metaphyseal fracture in immature dogs

Questioning the status quo

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