Unilateral Uniplanar External Skeletal Fixation for Isolated Diaphyseal Tibial Fractures in Skeletally Immature Dogs

Aronsohn, Michael G.; Burk, Ronald L.

doi:10.1111/j.1532-950x.2009.00553.x

Cited by 9 publications

(15 citation statements)

References 13 publications

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“…One case was managed with an intramedullary pin and type 1a external fixator ( Fig 5 ) and recovered well without any noted complications. This type of fracture fixation method may be useful for PTMF given the limited bone stock of the proximal fracture fragment, its proximity to the proximal tibial physis and the potential for rapid healing due to patient age [ 19 ].…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…TIBIAL fractures in immature dogs commonly involve the proximal or distal physes as these areas are mechanically weaker than the adjacent bone and articular structures. Other tibial fractures in juvenile dogs tend to be mid‐diaphyseal (Aronsohn and Burk 2009).…”

Section: Figurementioning

confidence: 99%

Unusual proximal metaphysealdiaphyseal tibial fracture in skeletally immature dogs

et al. 2010

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“…Many substantive studies have described the use of ESF for the treatment of tibial fractures; however, there are no large studies evaluating the use of linear ESF applied using minimally invasive techniques and evaluating postoperative tibial alignment. 3 , 5 , 13 , 14 , 15 , 16 No study has evaluated the utility of intraoperative imaging on tibial alignment. The objective of this study was to evaluate the use of linear ESF applied using minimally invasive techniques with and without the use of intraoperative imaging in dogs and cats.…”

Section: Introductionmentioning

confidence: 99%

“…4,[9][10][11][12] External skeletal fixation (ESF) can be applied using minimally invasive techniques and is commonly used for tibial fracture fixation. 3,5,[13][14][15][16] Reported advantages of ESF include ease of placement and removal, adjustability of frames, accessibility for open wound management, and reduced cost of placement. 17,18 The principles of minimally invasive fracture reduction have long been employed with ESF, and are especially well suited for fractures of the tibia.…”

Section: Introductionmentioning

confidence: 99%

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Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

et al. 2022

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Objective: The objective of this study was to evaluate the use of linear external skeletal fixation (ESF) applied using minimally invasive techniques in dogs and cats.Study design: Retrospective study.Animals: Forty-nine dogs and 6 cats. Methods: Medical records of cases with nonarticular tibial fractures, repaired using linear ESF at a single academic institution between July 2010 and 2020, were reviewed. All records of cases that had nonarticular tibial fractures repaired using linear ESF were included. Information was collected regarding signalment, surgical procedures performed, perioperative care, radiographic evaluation, and postoperative complications.Results: Intraoperative imaging was used in 40/55 (72%) of cases. Tibal plateau angle (TPA), tibial mechanical medial proximal and distal tibial angles (mMPTA and mMDTA, respectively) were not affected by intraoperative imaging (P = .344, P = .687, P = .418). A total of 22 (40%) complications occurred.Of these, 18 were considered minor and 4 were considered major. Open fractures had more major complications than closed fractures (P = .019). All fractures reached radiographic union of the fracture. The mean ± SD time to external fixator removal was 71 ± 48 days. Conclusion: Linear ESF applied using minimally invasive techniques with or without intraoperative imaging was an effective treatment for nonarticular tibial fractures.Clinical significance: Closed application of linear ESF should be considered as a minimally invasive option for stabilizing nonarticular tibial fractures.

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Unilateral Uniplanar External Skeletal Fixation for Isolated Diaphyseal Tibial Fractures in Skeletally Immature Dogs

Abstract: ESF is an effective alternative treatment to external coaptation and internal fixation for isolated diaphyseal tibial fractures in skeletally immature dogs.

Cited by 9 publications

References 13 publications

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

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

Unusual proximal metaphysealdiaphyseal tibial fracture in skeletally immature dogs

Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

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