Scribd Logo
Upload

Welcome to Scribd!

  • Surgical Treatment of Distal Femur Fracture Using Locking Reconstruction Plate in A Dog

    Uploaded by

    Hari Krishna Nunna V V
    31 views2 pages
    Describes repair of distal third femur fracture by locking recon plate

    Original Title

    Surgical Treatment of Distal Femur Fracture Using Locking Reconstruction Plate in a Dog

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Describes repair of distal third femur fracture by locking recon plate

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    31 views2 pages

    Surgical Treatment of Distal Femur Fracture Using Locking Reconstruction Plate in A Dog

    Uploaded by

    Hari Krishna Nunna V V
    Describes repair of distal third femur fracture by locking recon plate

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    72 Dystocia due to breech presentation in a crossbred cow

    and treated in buffalo by Jana and Mousumi References


    (2010). Breech presentation can be diagnosed Choudhury, A.C. (2010) North-East Veterinarian, 10(3):13.
    by the presence of the tail and buttocks in the Jackson, P.G.G. (2004) Hand Book of Veterinary Obstetrics.
    pelvic cavity which is one of the most difcult 2nd Edn, Elsevier Saunders, pp: 55
    postures to manage, especially if the fetus is Jana, D. and Mousum, J. (2010) Indian J. Field Vet.,6:73.
    dead (Roebrts, loc.cit).
    Noakes, D.E., Parkinson, T.J. and England, G.C.W. (2009)
    Summary Veterinary Reproduction and Obstetrics. 9th ed. Harcourt
    (India) Pvt. Ltd., New Delhi, pp.295.
    A case of obstructive fetal dystocia due to breech
    Roberts, S.J. (1971) Veterinary Obstetrics and genital Diseas-
    presentation (Bilateral hip exion posture) es (Theriogenology). 2nd ed. (Indian reprint). CBS Publishers
    and its successful delivery through mutation and Distributors, New Delhi, India, pp.249-251, 278
    and force traction in a crossbred cow has been
    described.

    Indian Vet. J., December 2013, 90 (12) : 72 - 73

    Surgical Treatment of Distal Femur Fracture Using Locking


    Reconstruction Plate in a Dog
    N.V.V. Hari Krishna1, R. Jayaprakash, S. Ayyappan and B. Justin William
    Department of Veterinary Surgery and Radiology, Madras Veterinary College, Chennai-600 007.

    (Received : 06-03-2013; Accepted : 06-04-2013)

    The femur bone is fractured oftenly in dogs 17 kg aged eight months was presented to the
    and comprised almost half of the long bone Teaching Veterinary Hospital with a history of
    fractures (Plermattei and Flo, 1997), of which having fallen from rst oor one week prior to
    distal femoral fractures constitute almost one presentation and non weight bearing since then.
    third (28%) of total femoral fractures in dogs Physical and radiology examination conrmed
    (Harasen, 2003). The fractures of the supra- short oblique fracture of distal third of the right
    condylar region of the femur in adult animal femur. All the physiological parameters were
    are oftenly communicated and present a great within normal range. It was decided to stabilize
    challenge to the orthopedic surgeon since little the fracture with open reduction and internal
    bone is available distal to fracture and there is a xation using a locking reconstruction plate.
    caudal bowing of the distal epiphysis in respect
    to diaphysis (Harasen, 2002). This paper reports Treatment and Discussion
    about surgical management of distal femur The animal was prepared for aseptic surgery
    fracture in a dog by open reduction and internal with Inj. Atropine, Inj. Xylazine and Inj.
    xation in a dog by using locking reconstruction Tramadol @ 0.04 mg/kg, 1 mg/kg and 3 mg/kg
    plate1. body weight i.m. premedication respectively,
    followed by Inj. Ketamine Hcl and Inj. Diazepam
    Case History and Observations anesthetic induction @ 5 mg/kg and 0.3 mg/kg
    An intact male Labrador retriever weighing body weight i.v. respectively and isourane @
    1
    Corresponding author : Email : [email protected] 2% for maintenance of general anesthesia. A

    The Indian Veterinary Journal (December, 2013)


    N.V.V. Hari Krishna et al. 73

    Distal femur fractures occur in adult


    dogs and are oftenly comminuted. These type of
    fractures are difcult to be managed and stabi-
    lized because of the pull of the muscles, distal
    nature of the fracture and caudal bowing of the
    distal femur. Conventional bone plate repair
    may not permit enough screws to be placed in
    the distal fragment (Beale, 2004 and Harasen,
    loc. cit). In the present case, the fracture was
    reduced and stabilized using locking reconstruc-
    tion plate because of the caudal bowing of the
    distal femur. As the reconstruction plate is more
    malleable than conventional plates due to the
    presence of notches between screw holes, it can
    Fig 1. Skiagram showing stabilized fracture with plate in posi- be bent in three planes. The plate was contoured
    tion. to the shape of the bone which allowed the
    placement of one additional screw and provided
    curvilinear incision was made on the craniolat- adequate stability in the present case. If plate
    eral aspect of right thigh. The supercial leaf of alone is not sufcient to stabilize the fracture
    fascia lata along the cranial border of the biceps additional stabilization can be provided using
    femoris and the fracture was exposed by retract- an intramedullary pin (Harasen, loc. cit).
    ing the vasttus lateralis and biceps femoris However, in the present case, relative stability
    after incising the fascial aponeurotic septum on with adequate compression was achieved. Load
    the lateral shaft of the bone. The fracture ends sharing between bone and implant is a prereq-
    were trimmed to remove the redundant soft uisite for promoting osteosynthesis. The animal
    callus using periosteal elevator and the marrow started bearing weight on 3rd postoperative day.
    cavity was reamed. The fracture was reduced Fracture healing progressed well with secondary
    using serrated bone holding forceps the fracture healing and ambulation of the fractured limb.
    stabilized using eight hole 3.5mm locking
    Summary
    reconstruction plate after contouring the plate
    to the shape of the bone (Fig. 1). Compression A distal femur fracture in an eight months old
    was applied close to the fracture site using an 18 male Labrador retriever using locking recon-
    mm non-locking cortical screw in the proximal struction plate was successfully treated.
    fragment. The locking screws were applied to
    References
    the locking holes of the plate, four in the proxi-
    mal and three in the distal fragment. The surgi- Beale, B. (2005) Clinical Tech. in Small Anim. Pract.19:134-
    cal site was closed as per standard operative 150.
    procedure. Postoperatively the dog was given Harasen, G. (2002) Canad. Vet. J.43: 131-132.
    Tab. Cefalexin2 500 mg @22 mg/kg BW b.i.d. for Harasen, G. (2003) Canad. Vet. J. 44: 333-334.
    seven days and Tab. Carprofen3 50mg @ 2.2 mg/ Piermattei, D.L. and Flo, G.L. (1997) Handbook of Small
    Kg BW b.i.d. for ve days. Skin sutures were Animal Orthopedics and Fracture repair, 3rd ed., W.B. Saun-
    removed on eighth postoperative day. ders, Philadelphia, pp.469.

    The Indian Veterinary Journal (December, 2013)

    You might also like