Radial and ulnar fracture treatment with paraosseous clamp‐cerclage stabilisation technique in 17 toy breed dogs

Abstract

ObjectiveDescription of surgical technique, complications and outcome of radius/ulna fractures in toy and miniature breed dogs treated with the paraosseous clamp-cerclage stabilisation (PCCS) method.Study designRetrospective study.MethodsClinical records of small breed dogs with fractures of the radius and ulna were reviewed between January 2011 and January 2016. Inclusion criteria were bodyweight of ≤3.5 kg, fracture of the radius and ulna of one or two limbs without previous repair attempts, available follow-up information, and the use of PCCS for repair of the fracture as the sole method of fixation.ResultsSeventeen fractures in 17 dogs were included in the study. Radiographic union was documented in 13/17 cases. Median time to radiographic union was 13 weeks (range: 5–53 weeks). Major complications occurred in 24 per cent (4/17) due to implant failure, and for revision surgery the PCCS method was chosen in all four cases. Three of four revised fractures healed radiographically. One of the four dogs was lost for radiographic follow-up, but the owner could be contacted for a telephone questionnaire. Eleven of 17 dogs achieved an excellent return to function without any lameness during clinical examination, but 5/17 dogs showed an intermittent mild lameness despite full radiographic union. Routine implant removal was performed in 9/17 dogs. The owners of 15/17 dogs could be contacted for a telephone questionnaire for a long-term follow-up. No further complications were reported.ConclusionsPCCS is a feasible low-cost internal fixation technique for repairing radial and ulnar fractures in toy breed dogs. Further biomechanical and clinical studies are needed for better evaluation of the PCCS method.

Effects of platelets rich fibrin and bone marrow on the healing of distal radial fracture in local dogs: Comparative study

“…The lameness was evident at the first and second weeks and less visible in the third and fourth weeks then almost disappeared at the sixth week. These results coincides by McCartney et al and Manchi et al (4,16), whom said that, the lameness is clinically cleared when the distal radial fracture accompanied by ulnar fracture and is less when only distal radial fracture without ulnar fracture.…”

Histopathological study about the effect of nano magnesium oxide and platelets rich fibrin on the healing of induced radial fracture in dogs

“…All experimental animals suffered from limping which consider a major and clear clinical sign of radial bone fracture, and it was evident in the first and second week and less evident in the third and fourth week then disappeared in the sixth week, and this was confirmed by Watrous (4) and Moens and Manchi et al (20), they said that the lameness is clinically evident when the radius bone fracture coincides with ulnar bone fracture and is less obvious when fracture of the radius bone only.…”

Retrospective Evaluation of Challenging Delayed Union and Non-union Encountered in Dogs: 16 Cases (2012-2018)

“…Radius/Ulna fractures in toy breeds are challenging; various different stabilization methods such as miniature circular external fixator, paraosseous clamp-cerclage, mini locking plate and free-form external fixators were reported for their management (Aikawa et al, 2019;Bierens et al, 2017;Kang et al, 2016;Manchi et al, 2017). Despite having a high incidence of complications for R/U fractures (Lappin et al, 1983), external coaptation is the most widely available and cheapest option.…”