Use of external skeletal fixators in the repair of femoral fractures in cats

Langley‐Hobbs, Sorrel; Carmichael, S.; McCartney, William

doi:10.1111/j.1748-5827.1996.tb02350.x

Cited by 29 publications

(28 citation statements)

References 17 publications

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“…They concluded that there remains a place for their use in the femur when correctly applied and plate fixation may not be an optimal choice for all fractures given that application can be expensive. 27 This conclusion is supported by a population of dogs and cats undergoing femoral fracture stabilisation with modified acrylic ESFs in which 100% of the dogs and none of the cats developed an FAC. 28 Implant failure had an overall incidence of 9%, representing 41% (n=12) of all complications.…”

Section: Discussionmentioning

confidence: 89%

“…IM pins are commonly used at these sites to help fracture alignment and to improve resistance to bending. 27,44 Their location of use will also be influence by the regional anatomy, as some bones lend themselves to adjunctive IM pin fixation, such as the femur, humerus and tibia, however fracture configuration such as comminution will also be a consideration. It is important to note therefore that their risk association may be a surrogate marker for their usage in higher risk zones, or higher risk fracture configurations.…”

Section: Discussionmentioning

confidence: 99%

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Postoperative complications associated with external skeletal fixators in cats

Beever

Giles

Meeson

2017

Journal of Feline Medicine and Surgery

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(300 words max): 227 Objectives:The objective was to quantify external skeletal fixator (ESF) associated complications in cats and to identify potential risk factors. Methods:A retrospective review of medical records and radiographs following ESF placement was performed. Results:Case records of 140 cats were reviewed; fixator associated complications (FAC), occurred in 19% of cats. The region of ESF placement was significantly associated with complication development.Complications developed most frequently in the femur (50%), tarsus (35%) and radius/ulna (33%). Conclusions and relevance:Complication development is not uncommon in cats following ESF placement. The higher complication rate in the femur, tarsus and radius/ulna should be considered when reviewing options for fracture management; however cats appear to have a lower rate of pin tract infections than that reported in dogs.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Postoperative complications associated with external skeletal fixators in cats

Beever

Giles

Meeson

2017

Journal of Feline Medicine and Surgery

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“…This complication occurred in all of the dogs in this case series but did not result in noticeable lameness. Interestingly, no mention of such complication was reported in previous studies in which "tie-in" configuration was used for the management of femoral fractures in dogs (1) and cats (10). However, since the wound healed and draining stopped after removing the IM pin, this was considered as a minor complication.…”

Section: Discussionmentioning

confidence: 94%

Management of femoral fractures in dogs with unilateral semicircular external skeletal fixator-intramedullary pin tie-in configurations

ÖZAK¹

2018

Ankara Üniversitesi Veteriner Fakültesi Dergisi

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Summary:The aim of the present study is to report the use of semicircular external skeletal fixator-intramedullary pin tie-in configurations for management of femoral fractures in dogs. Twenty dogs (21 femoral fractures) with complete clinical and radiographic records for at least 24 weeks were included in the study. A unilateral, multiplanar, semicircular external skeletal fixator system was used in combination with intramedullary pin. Fracture description, history, frame configuration, complications, limb use, concomitant injury, fixator removal time, and functional outcome were evaluated. All of the fractures with sufficient follow up were healed. Eight dogs started to use the operated limb immediately after recovery from anaesthesia whereas initial limb use was 1 to 7 days in other dogs. Time for removal of the fixator ranged from 36 to 67 days (mean, 50 days). Functional outcome was excellent in 15 cases, good in 4 cases, fair in 1 case and poor in 1 case. As a result, it was concluded that semicircular external skeletal fixatorintramedullary pin tie-in configurations can be used as an alternative for the management of the femoral fractures in dogs.Keywords: Dog, external skeletal fixation, femur, fracture, intramedullary pin. Köpeklerde femur kırıklarının unilateral semisirküler eksternal fiksasyon intramedullar pin tie-in kombinasyonu ile sağaltımıÖzet: Bu çalışmanın amacı köpek femur kırıklarının sağaltımında semisirküler eksternal fiksatör intramedullar pin tie-in kombinasyonu ile ilgili sonuçların sunulmasıdır. Çalışmada en az 24 haftalık klinik kaydı ve radyografik verisi bulunan 20 köpek (21 femur) yer aldı. Unilateral, multiplanar, semisirküler eksternal fiksasyon sistemi ile intramedullar pin kombinasyonu kullanıldı. Kırığın tipi, anamnez, çerçevenin konfigürasyonu, komplikasyonlar, bacağın kullanımı, eşlik eden lezyon, fiksatörün çıkarılma zamanı ve sonuçlar değerlendirildi. Bütün kırıklarda kaynama şekillendi. Sekiz olgu operasyondan hemen sonra ilgili bacağını kullanmaya başlarken diğer olgularda bu sürenin 1 ile 7 gün arasında değiştiği gözlendi. Fiksatörün uzaklaştırılma süresi 36 ila 67 gün (ortalama, 50 gün) arasında değişim gösterdi. Fonksiyonel değerlendirme, olguların 15'inde mükemmel, 4'ünde iyi, 1'inde orta ve 1'inde ise zayıf olarak değerlendirildi. Sonuç olarak, semisirküler eksternal fiksasyon intramedullar pin tie-in konfigürasyonunun, köpeklerin femur kırıklarında bir alternatif sağaltım yöntemi olarak kullanılabileceği kanısına varılmıştır.

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“…Conservative treatment often results in normal use of the affected limb and normal growth of the animal [9]. Prognosis with conservative treatment is improved when the fracture is minimally displaced, the animal is young, and the radial nerve is intact [16].…”

mentioning

confidence: 99%

Humeral fracture in a Japanese Black calf repaired by closed approach and two methods of external skeletal fixation

Yamagishi

Kajiwara²,

Shibano

et al. 2017

The Journal of Veterinary Medical Science

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A healthy 71-day-old female Japanese Black calf was evaluated for fracture of the left humerus. The left humeral fracture was treated by closed repair and unilateral external skeletal fixation (ESF) with an epoxy putty fixator. The calf was active, and eight days after surgery slipped and fell, resulting in breakage of the ESF. The calf underwent repair by transfixation pinning and casting (TPC), which is an alternative to the ESF method. The TPC was removed 37 days after the first surgery, and the calf could bear weight on the left forelimb while walking. This case suggests that recovery after closed repair with TPC for a humeral fracture in an active calf can be successfully managed on the farm.

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Use of external skeletal fixators in the repair of femoral fractures in cats

Cited by 29 publications

References 17 publications

Postoperative complications associated with external skeletal fixators in cats

Postoperative complications associated with external skeletal fixators in cats

Management of femoral fractures in dogs with unilateral semicircular external skeletal fixator-intramedullary pin tie-in configurations

Humeral fracture in a Japanese Black calf repaired by closed approach and two methods of external skeletal fixation

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