Percutaneous tibial physeal fracture repair in small animals: technique and 17 cases

Published on Jun 21, 2017in Veterinary and Comparative Orthopaedics and Traumatology0.877
· DOI :10.3415/VCOT-16-07-0102
Dirsko J F von Pfeil1
Estimated H-index: 1
(Yahoo!),
Mathieu Glassman3
Estimated H-index: 3
,
Meaghan Ropski1
Estimated H-index: 1
Sources
Abstract
Objectives: To retrospectively describe cases treated via percutaneous tibial physeal fracture repair (PTPFR), using intra-operative fluoroscopy (IFL) or digital radiography (DR). To describe a technique (“spiking”), used to treat tibial tuberosity avulsion fractures. Methods: Clinical data of 14 dogs and three cats were included. The “spiking” technique was described. Results: Intra-operative fluoroscopy (n = 11) and DR (n = 6) were successfully used in 11 tibial tuberosity avulsion fractures, one combined proximal physeal and tibial tuberosity avulsion fracture, and five distal tibial/fibular physeal fractures. Surgery times ranged from eight to 54 minutes. The “spiking” technique was successfully applied in six tibial tuberosity avulsion fracture cases. Return to function was at a mean (± standard deviation) of 1.9 (± 1.6) weeks. Long-term (>12 months; n = 17) follow-up was available at a mean of 40.6 (± 13.4) months. Major complications consisted of skin irritation from a pin (distal tibia / fibula physeal fracture case; 8 weeks post-PTPFR), and a bilateral grade II medial patella luxation (tibial tuberosity avulsion fracture case; 1.5 years post-PTPFR). One case developed a mild tibial tuberosity avulsion fracture re-avulsion. All conditions in these three cases were not of clinical concern at follow-up and final outcome was graded as good in these and excellent in the other 14 cases. Clinical significance: Percutaneous tibial physeal fracture repair can be considered as a technique to treat tibial physeal fractures. The “spiking” technique was successfully applied in six dogs. A larger, prospective case series is indicated to provide additional clinical information.
References30
Newest
Objective: To describe a cohort of dogs with medial patellar luxation managed with a distal femoral lateral closing wedge ostectomy (DFO) as a component of comprehensive treatment, and to report radiographic and long-term clinical outcome of this technique. Methods: Medical records of dogs that had a lateral closing wedge DFO as part of management of medial patellar luxation at three veterinary teaching hospitals were reviewed. Surgical reports as well as the preoperative, postoperative, and fol...
Source
Objectives: To evaluate the use of Kirschner wires for treatment of fractures of the lateral aspect of the humeral condyle in growing dogs. Methods: Retrospective analysis of 35 elbow fractures (33 dogs) of the lateral aspect of the humeral condyle treated by insertion of multiple transcondylar and one anti-rotational Kirschner wires. Radiographic and clinical re-evaluations were carried out immediately after surgery, at four weeks and, when required, at eight weeks postoperatively. Long-term fo...
Source
#1Erin N. Kishi (MU: University of Missouri)H-Index: 2
#2Don A. Hulse (A&M: Texas A&M University)H-Index: 11
Objective To evaluate a center of rotation of angulation (CORA)-based leveling osteotomy for cranial cruciate ligament injury in dogs. Study Design Retrospective case series. Animals Dogs (n=70). Methods Medical records (March 2011 to March 2012) of dogs diagnosed with a cranial cruciate ligament (CCL) injury treated with a CORA-based leveling osteotomy and stabilized using a bone plate and headless compression screw were reviewed. Radiographs were reviewed for tibial plateau angle and radiograp...
Source
#1Charles E. DeCamp (American College of Veterinary Surgeons)H-Index: 7
Source
#1Amanda ClarkH-Index: 4
#2J. Zach HiltH-Index: 34
Last. David A. PuleoH-Index: 46
view all 4 authors...
Abstract Growth plate fractures account for nearly 18.5% of fractures in children. Depending on the type and severity of the injury, inhibited bone growth or angular deformity caused by bone forming in place of the growth plate can occur. The current treatment involves removal of the bony bar and replacing it with a filler substance, such as a free fat graft. Unfortunately, reformation of the bony bar frequently occurs, preventing the native growth plate from regenerating. The goal of this pilot...
Source
Dogs treated for congenital medial patellar luxation were reviewed for the purpose of determining the incidence of postoperative major complications requiring surgical revision and the risk factors for their occurrence. Major complications occurred in 18.5% of the patellar luxation stabilization procedures with implant associated complications being the most frequent, patellar reluxation the second, and tibial tuberosity avulsion the third most common major complication. Other complications incl...
Source
Objective: To compare the outcome of the tibial plateau levelling osteotomy (TPLO) procedure, using a 6-hole 3.5 mm locking TPLO plate and performed with the muscle elevation technique (ET) and placement of sponges, to the TPLO without performing these steps (non-elevation-technique [NET]). Material and methods: Medical records and radiographs of dogs with ET (n = 21) or NET (n = 19) were retrospectively reviewed. Signalment, TPLO procedure side, meniscal treatment, surgery time, haemorrhage, pr...
Source
#1Laurent P. Guiot (MSU: Michigan State University)H-Index: 8
#2Loïc M. Déjardin (MSU: Michigan State University)H-Index: 17
Perioperative imaging using various appropriate modalities is critical to the successful planning and performance of any orthopedic surgery. Although not an absolute prerequisite, the use of intraoperative imaging considerably facilitates the smooth and effective execution of minimally invasive osteosynthesis (MIO). However, the risk of overexposure to radiation is real, particularly when considering its insidious effect over time. Therefore, the primary concern of the surgeon must be safety of ...
Source
#1Stanley E. Kim (UF: University of Florida)H-Index: 15
#2Caleb C. Hudson (UF: University of Florida)H-Index: 6
Last. Antonio Pozzi (UF: University of Florida)H-Index: 25
view all 3 authors...
This article describes the technique of percutaneous pinning in dogs and cats. Only acute fractures evaluated within the first 48 hours after trauma are selected for percutaneous pinning. Reduction is performed with careful manipulation of the fracture to minimize the trauma to the growth plate. After ensuring the fracture is reduced anatomically, smooth pins of appropriate size are inserted through stab incisions. Depending on the anatomic location, the pins are cut flush with bone or bent. The...
Source
#1D. J. F. von Pfeil (MSU: Michigan State University)H-Index: 5
#2C. E. DeCampH-Index: 7
Last. S. A. Johnston (UGA: University of Georgia)H-Index: 1
view all 8 authors...
Objective: The objective of this study was to describe the clinical and radiographic features, as well as the treatment and outcome of minimally displaced tibial-tuberosity-avulsion-fractures (MDTTAF). Materials and methods: Signalment, history, diagnostics, therapy, and outcome were recorded. Follow-up was documented as re-examination, radiographic assessment or telephone conversation. Results: Nine large breed dogs that were presented with lameness originating from the proximal tibia were incl...
Source
Cited By8
Newest
#1Antonio Pozzi (UZH: University of Zurich)H-Index: 25
#2Daniel Lewis (UF: University of Florida)H-Index: 31
Last. Federico Longo (UZH: University of Zurich)H-Index: 2
view all 5 authors...
Objective null To summarize and discuss peer-reviewed studies on minimally invasive osteosynthesis (MIO) of long bone, physeal, and articular fractures in dogs and cats. null Study design null Invited review. null Methods null A critique of literature was performed to assess MIO feasibility, outcomes, and complications through PubMed, Scopus, and CAB abstracts research databases (2000-2020). null Results null More than 40 MIO articles have been published in the last 15 years, but most studies ha...
Source
#1Valentine D. Verpaalen (UGA: University of Georgia)
#2Daniel Lewis (UF: University of Florida)H-Index: 31
view all 3 authors...
OBJECTIVE The aim of this study was to compare the biomechanical properties of a hybrid external skeletal fixator (HESF) construct to the placement of paired interfragmentary Kirschner wires alone, and pin and tension band wire (PTBW) fixation for the stabilization of simulated tibial tuberosity fractures in dogs. STUDY DESIGN Tibias were harvested from 12 skeletally mature dog cadavers weighing 20 to 30 kg. An osteotomy was made through the base of the tibial tuberosity, which was subsequently ...
Source
Last. Mathieu GlassmanH-Index: 3
view all 5 authors...
This retrospective study compared surgery time, anesthesia time, and costs recorded with classic arthroscopy or needle arthroscopy when diagnosing canine medial shoulder instability. Signalment, examination findings, diagnostics, anesthesia time, surgery time, treatment, invoices, and complications were reported. All cases (classic arthroscopy, 14 cases; needle arthroscopy, 17 cases) were diagnosed with medial shoulder instability. Anesthesia times, surgery times, and invoices were statistically...
Objective The aim of this study was to report the clinical experience with fluoroscopically guided tibial apophyseal percutaneous pinning (TAPP) for tibial tuberosity avulsion fractures (TTAF). Study Design This is a retrospective case series. Materials and Methods Medical records of skeletally immature dogs (n = 25) were reviewed. The association of pin design [smooth (SP); negatively threaded (NTP)], pin insertion angles, TTAF-type, age and breed with various outcome variables was statisticall...
Source
OBJECTIVE: The aim of this article was to report the surgical technique and clinical outcome of a modified cross-pin technique for the treatment of distal tibial physeal fractures in cats without postoperative external coaptation. STUDY DESIGN: This study was a retrospective clinical study. ANIMALS: A total of 9 cats were presented with fracture of the distal tibial physis. MATERIALS AND METHODS: Medical records from July 2014 to September 2018 were reviewed. In all cases, a second medial and a ...
Source
#1Alessandro Conte (Glas.: University of Glasgow)H-Index: 2
#2Elena S. Addison (Glas.: University of Glasgow)H-Index: 5
Practical relevance:Periarticular stifle fractures are uncommon but challenging injuries to treat. There may be concurrent damage to the ligaments and stabilising structures of the stifle joint its...
Source
#1Pierre Picavet (University of Liège)H-Index: 2
#2Bernard Bouvy (University of Liège)H-Index: 8
Last. Marc Balligand (University of Liège)H-Index: 5
view all 5 authors...
Objective The aim of this study was to describe the use of epiphysiodesis by the means of a screw to treat a proximal tibial Salter–Harris II fracture associated with a tibial tuberosity avulsion in a 4.5-month-old Airedale Terrier. Study design A healing proximal tibial epiphyseal fracture was observed after a 10-day period. Tibial plateau angle was 40°. The fracture was treated by the insertion of a fluoroscopy-guided 3.5-mm cancellous screw. Results Successful healing of fractures and levelli...
Source
Source
This website uses cookies.
We use cookies to improve your online experience. By continuing to use our website we assume you agree to the placement of these cookies.
To learn more, you can find in our Privacy Policy.