Kedilerin Distal Diyafizer ve Suprakonduler Femur Kiriklarinin Dinamik Intramedüller Çapraz Pin Tekniği ile Tedavisi

Abstract

Bu çalışma, 11 adet suprakondiler femur kırığı ve 1 adet distal diafizer femur kırığı tespit edilen 12 kedide gerçekleştirilmiştir. Olguların, kırık özellikleri, operasyon detayları, operasyon sonrası oluşan komplikasyonlar ve radyografik görüntüleri kaydedilmiştir. Çalışmadaki suprakondiler kırıklar Salter‐ arris’e göre sınıflandırılmış olup; 1 tanesinde tip I, 7 tanesinde Tip II, 3 tanesinde Tip IV kırığı belirlenmiştir. Kırıklardan Salter‐Harris tip II, tip I ve distal diafizer femur kırığı olan hastalara dinamik intramedüller çapraz pin tekniği uygulanmış, Salter‐Harris tip IV kırığı olanlara ise dinamik intramedüller çapraz pin ve interkonduler vida uygulaması yapılmıştır. Operasyonu gerçekleştirilen 12 hastanın 8’sinde ilgili ekstremitedeki bandajın çıkarılmasından sonra ekstremitelerini kullandıkları tespit edildi. Salter‐Harris tip IV kırığı olan 2 hastada diğer bölgelerdeki kırıklar sebebi ile topallık görüldü fakat kemik iyileşmesi tamamlandıktan sonra ekstremite hareketinin normale döndüğü görüldü. Salter‐Harris tip IV kırığı olan bir hastada travma sonucu eklemdeki hasarın büyüklüğü sebebiyle eklem açısında daralma ve topallama görüldü. Salter‐Harris tip I kırığı olan bir vakada operasyondan 5 gün sonra pin migrasyonu gerçekleşti ve ikinci bir operasyon yapılarak çapraz pin tekniği uygulandı. Elde edilen bulgular sonucunda kedilerde oluşan suprakondiler femur kırıklarının tedavisinde dinamik intramedüllar çapraz pin tekniğinin etkin olduğu görülmüştür.

Keywords

• Femur
• Kedi
• İnramedullar pin
• Tedavi

Treatment of Cats Distal Diaphyseal and Supracondylar Femur Fractures with Dynamic Intramedullary Cross Pinning Technique

Abstract

This study was conducted on 12 cats with 11 supracondylar femur fractures and one distal diaphyseal femur fracture. Fracture properties, operation details, postoperative complications, and radiographic images of the cases were recorded. The supracondylar fractures in the study were classified according to Salter‐Harris, and they were determined as type I in 1, Type II in 7, and Type IV in 3 of them. Dynamic intramedullary cross pinning technique was applied to patients with Salter‐Harris type II, type I and distal diaphyseal femur fractures, dynamic intramedullary cross pinning, and intercondylar screw application, as for that, was applied to patients with Salter‐Harris type IV fractures. It was observed that 8 of the 12 patients who were operated on used their extremities after removing the bandage on the relevant extremity. In two patients with Salter‐Harris type IV fractures, lameness was observed due to fractures in other regions, but extremity movement returned to normal after healing the bone. A patient with a Salter‐Harris type IV fracture, due to the extent of the damage to the joint as a result of trauma, had narrowing and limping in the joint angle. In a patient with a Salter‐Harris type I fracture, pin migration occurred five days after the operation, and the cross‐pinning technique was applied in a second operation. In consequence of the findings, it was observed that the dynamic intramedullary cross pinning technique was influential in the treatment of supracondylar femur fractures in cats.

Keywords

• Femur
• Cat
• Intamedullar pinning
• Treatment

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