Treatment of a Paediatric Distal Femoral Malunion Deformity

Abstract

Prior to ossification of the epiphyses in very young animals, which precludes effective radiographic pre-planning, the guide-wire technique can be utilized as the primary tool for performing angular deformity correction. Adequate fixation and stabilization can be obtained with small human specialty locking plates.

Corrective Osteotomy in a Dog to Address Increased Distal Femoral Procurvatum Ascribed to a Distal Femoral Salter-Harris Type V Injury

“…Slight femoral recurvatum (5 degrees) was present after surgery in our case which is similar to the result obtained by others. 3 23 This illustrates the technical challenges in correcting distal femoral procurvatum deformity due to the femur's inherent procurvatum and the short length of the distal segment, which can limit distal osteotomies and cause a shift in CORA location. We believe the femoral recurvatum in the current report was produced by removing a larger wedge of the bone during the corrective procedure.…”

“…23 The extent of the recurvatum has been shown to reduce over time by bone remodelling, particularly in dogs with continued longitudinal growth. 23…”

“…24 Although the minor degree of recurvatum was well tolerated and did not appear to have an adverse impact on limb function, increased recurvatum should be avoided. 23 The extent of the recurvatum has been shown to reduce over time by bone remodelling, particularly in dogs with continued longitudinal growth. 23 The PTE has been advocated for reducing the TPA in skeletally immature dogs with cranial cruciate ligament deficiency.…”

“…23 The extent of the recurvatum has been shown to reduce over time by bone remodelling, particularly in dogs with continued longitudinal growth. 23 The PTE has been advocated for reducing the TPA in skeletally immature dogs with cranial cruciate ligament deficiency. 18 The dog in our study did not have any clinical abnormalities consistent with cranial cruciate insufficiency during the study.…”

Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

“…8 Therefore, early intervention should be desired, as it can slow down the progression of pathophysiological mechanisms. 9 To date, there is little evidence to support surgical treatment modalities for growing patients affected by medial patellar luxation, and early treatment approach in these animals is often lacking. However, it is expected that an early surgical approach may present advantages for the patient's development and prevent consequent bone and muscle sequelae.…”