Yeni Doğan Buzağılarda Karşılaşılan Femur Kırığı Olgularının Lokalizasyonu, Şekli ve Sağaltım Seçeneklerinin Değerlendirilmesi

Abstract

ÖZBu çalışmada 2017 yılında Kafkas Üniversitesi Veteriner Fakültesi Hayvan Sağlığı Eğitim, Araştırma ve Uygulama Hastanesine femur kırığı şikâyeti ile getirilen buzağılarda kırık oluşum nedeni, kırığın lokalizasyonu ve sağaltım yöntemleri ile sonuçlarının değerlendirilmesi amaçlandı. Hayvan materyalini farklı cins ve ırklara ait 13 adet yeni doğan buzağı oluşturdu. Kırık etiyolojileri belirlendikten sonra kırık lokalizasyonu ve tipi saptanarak yapılacak sağaltım yöntemi planlandı. Operasyonlar subaraknoid anestezi altında gerçekleştirildi. Kırık fiksasyonu için 9 olguda retrograd pin, 1 olguda plaka uygulaması gerçekleştirildi. Yeni doğan buzağılarda kırığın en çok (%53.84) güç doğuma bağlı bilinçsiz yaklaşım veya kriko kullanımına bağlı geliştiği tespit edildi. Suprakondüler ve orta diafizer oblik kırıkların eşit oranda ve diğer kırık tiplerine göre daha yaygın (%30.76) görüldüğü belirlendi. Buzağıların postoperatif dönemde kısa süre (2.3 gün) içerisinde ilgili ekstremitelerini kullandıkları görüldü. Yeni doğan buzağılarda karşılaşılan femur kırıklarının tedavisinde intramedullar pinleme ile %88.88 oranında başarı elde edilebileceği tespit edildi. ABSTRACTIn this study, it was aimed to evaluate the results of fracture formation, fracture localization and treatment methods and results of the fractures brought to the Hospital of Kafkas University Faculty of Veterinary Medicine Research and Practice Hospital between 2017 by complaint of femur fracture. The animal material consisted of 13 newborn calves belonging to different sex and breeds. After the etiology of the fractures, the localization of the fracture and type was determined, treatment were planned. Operations were performed under subarachnoid anesthesia. For fracture fixation, ıt was conducted in 9 cases retrograde pin and 1 case of plate application. It was found that the most developed (53.84%) of the fractures in newborn calves were due to forced extraction during dystocia. Supracondylar and mid diafizer oblique fractures were found equally and more common (30.76%) in comparison with other types of fractures. It was observed that the calves used the relevant limbs within a short period of time (2.3 days) in the postoperative period. In the treatment of femur fractures encountered in newborn calves, intramedullary pinning was found to be a success rate of 88.88%.

Surgical stabilisation of distal femoral fractures in calves using a triple pin technique: Twenty‐five cases

“…Of the 32 patients diagnosed with femoral fractures at our clinic, 25 were supracondylar or distal diaphyseal fractures. This over representation of supracondylar and distal diaphyseal fractures supports the findings of previous studies on femoral fracture classification 5,8,10,12 …”

“…As such, different fixation procedures are utilised depending on the fracture's features, the owner's financial constraints, available facilities and the surgeon's preferences 4,9–12 . Fracture healing can be achieved satisfactorily in field conditions, particularly in the case of closed metacarpus and metatarsus fractures, with applications of plaster or support bandages composed of various materials 4,8 . The extremities of the dislocated fragments should be completely brought together by applying appropriate traction to the extremity, and no soft tissue should be present between the two fragments.…”

“…In recent years, it has been reported that the intramedullary/interlocking nail method has been used successfully in treating this type of femoral fracture. However, the fact that the pins used in this method are custom‐made, relatively expensive and require a special guide system for their application limits the use of this method 8,12 . The pins used in the triple pin technique are manufactured using cost‐effective materials that can be found in every veterinary clinic, and there is no need for a special set of materials for performing the application.…”

“…Femoral fractures are one of the most common long bone fractures encountered in newborn calves. Excessive traction during birth, the mother stepping on the calf and the calf falling on the slick ground are all known to contribute to the development of these fractures 1–8 …”

“…Excessive traction during birth, the mother stepping on the calf and the calf falling on the slick ground are all known to contribute to the development of these fractures. [1][2][3][4][5][6][7][8] Conventional techniques for diaphyseal fracture fixation include intramedullary pinning, plate application, intramedullary/interlocking nails and external fixation. However, the success rate of these techniques has been shown to be relatively poor, particularly in the case of supracondylar femoral fractures.…”