A Clinical and Radiological Comparative Assessment of Transverse Mid-Diaphyseal Femur Fractures in Cats After Osteosynthesis with Mini Titanium and Resorbable Plates
Abstract
The aim of this
study is to make a clinical and radiological assessment of whether titanium
mini plates and resorbable plates are sufficient to provide a functional
recovery for the treatment of femur fractures in cats. Animals used in this
study were 10 cats brought with complaint of fracture caused by various
traumatic reasons and diagnosed on transversal mid-diaphyseal femur fractures
by clinical and radiological examination. In all cases, the procedures were performed under general anesthesia. Osteosynthesis was performed by placing mini titanium plate and
resorbable plate with appropriate technique. During the first post-operative
day, in all cases, recurrent fractures were observed in various ways. The
operation performed again with same technique by replacing implants with the
new and the same one. At the first post-operative day of new operation,
fractures were observed in all cases. Consequently; even the increased chance
of success due to low loading level (eg. Craniomaksillofasial surgery) along
the operation regions and the positive effects of preventive measures like
bandage usage, it is unable to sustain the stabilization in the femur diaphysis where the force has too much
influence on it. Additionally it was concluded that the application of 2.0 mm
mini titanium plates and 2.5 mm resorbable plates that we used for
mid-diaphyseal femur fractures in cats are clinically not useful because these materials
are expensive and require special tools during the application.
Keywords
References
- Aslanbey D, 2002: Veteriner Ortopedi ve Travmatoloji. 2nd ed, Medipres Yayınevi, pp 25-42, Ankara.
- Bilgili H, 2002: The use of mini-titanium plates for osteosynthesis in extremity fractures located near joints in cats and dogs. Turk J Vet Anim Sci, 2, 1289-1295.
- Brinker WO, Piermattei DL, Flo GL, 1983: Handbook of Small Animals Orthopedics and Fracture Treatment. 1st ed, W.B. Saunders Company, pp 514-530, Philadelphia.
- Deangelis M, 1975: Fractures of the femur. In: Bojrab MJ, Current Techniques in Small Animal Surgery, Lea and Febinger, pp 453-448, Philadelphia.
- Done SH, Goody PC, Evans SA, Stickland NC, 1996: Colour Atlas of Veterinary Anatomy, 2nd ed, pp 100-110, Mosby, UK.
- Dursun N, 2001: Veteriner Anatomi III. 1st ed, Medisan Yayınevi, Ankara, pp 22-23.
- Harari J, 2002: Treatments for feline long bone fractures. Vet Clin North Am Small Anim Pract, 32, 927-947.
- Jank S, Vaananen P, Kloss FR, Nurmi JT, Nuutinen JP, Jakonen S, Happonen H, 2010: Pullout strength of a biodegradable free form osteosynthesis plate. J Cranio-Maxillo-Facial Surgey, 38, 517-521.
- Jank S, Vaananen P, Nurmi JT, Nuutinen JP, Happonen H, Haers P, 2007: Three-point bending strength of a biodegradable ‘‘free-form’’ osteosynthesis plate. J Oral Maxillofacial Surgery, 65, 1080.
- Johnston SA, Lancaster RL, Hubbard RP, 1991: A biomechanical comparison of 7 hole 3.5 mm broad and 5 hole 4,5 mm narrow dynamic compression plates. Veterinary Surgery, 20, 235-239.
- Mcduffee L, Strover SM, Taylor KT, 1997: An in vitro biomechanical investigation of the mechanical properties of dynamic compression plated osteotomized adult equine tibiae. Veterinary Surgery, 26, 126-136.
- Olmstead ML, 1991: Complications of fractures repaired with plates and screws. Vet Clin North Am Small Anim Pract, 21, 669-686.
- Piermattei DL, Flo GL, Decamp CE, 2006: Handbook of Small Animals Orthopedics and Fracture Repair. 4th ed, W.B. Saunders Company, pp 512-557, Philadelphia.
- Schmelzeisen R, Mciff T, Rahn B, 1992: Further development of titanium miniplate fixation for mandibular fractures. Experience gained and questions raised from a prospective clinical pilot study with 2.0 mm fixation plates. J Cranio-Maxillo-Facial Surgey, 20, 251-56.
- Seber S, 1997: Biodegradable fiksasyon malzemeleri. Archives of Orthopaedic and Trauma Surgery, 31, 171-175.
- Simpson DJ, Lewis DD, 2002: Fractures of femur. In: Slatter D, Textbook of Small Animal Surgery. Saunders Company, pp 2072-2078, Philadelphia.
- Süer C, Sağlam M, 2006: Distribution of traumatic hind limb lesions and clinical studies of treatment possibilities in dogs. Ankara Üniv Vet Fak Derg, 53, 15-23.
- Tüzün B, Sağlam M, 2009: Feline high-rise syndrome. Ankara Üniv Vet Fak Derg, 56, 193-199.
- Ünlüsoy İ, Bilgili H, 2005: Köpeklerde intrameduller çivileme teknikleri ve uygulama alanları. Ankara Üniv Vet Fak Derg, 52, 85-91.
- Wallace AM, 2009: Feline combined diaphseal radial and ulnar fractures. Veterinary and Comparative Orthopaedics and Traumatology, 22, 38-46.
- Trimed İlaç Medikal San.Tic.Ltd.Şti. (1998) http://www.trimed.com.tr. [accessed 10 April 2014].
A Clinical and Radiological Comparative Assessment of Transverse Mid-Diaphyseal Femur Fractures in Cats After Osteosynthesis with Mini Titanium and Resorbable Plates
Abstract
Bu çalışmanın amacı
titanyum mini plak ve rezorbe olabilen plağın kedilerde femur kırıklarının
sağaltımlarında fonksiyonel bir iyileşme sağlayabilecek yeterlikte olup
olmadıklarının klinik ve radyolojik olarak değerlendirilmesidir. Çalışmanın
hayvan materyalini değişik travmatik nedenlere maruz kalmaları sonucu oluşmuş
kırık şikâyeti ile getirilen, klinik ve radyolojik muayenelerini sonucunda
femurun orta diyafizer transversal kırığı tanısı konulan 10 adet kedi
oluşturdu.Tüm
olgularda, işlemler genel anestezi altında yapıldı. Mini titanyum plak ve rezorbe olabilen plak
tekniğine uygun şekilde yerleştirilerek osteosentez işlemi gerçekleştirildi.
Postoperatif 1. günde tüm olgularda çeşitli şekillerde tekrar kırık oluşumu
gözlendi. Operasyon aynı şekilde tekrarlandı ve bölgeye aynı implantların
yenileri yerleştirildi. Tekrar postoperatif 1. günde tüm olgularda kırık
şekillendiği saptandı. Sonuç olarak; özellikle uygulandığı bölgelerdeki
yüklerin az olması (örn. Kraniomaksillofasial cerrahi) ve bandaj gibi koruyucu
önlemler alınması bu implantlarda başarı sansını arttırsa da, kuvvetin çok
fazla etkilediği femurun diyafiz bölgesinde stabilizasyonu koruyamamaktadırlar.
Ayrıca pahalı olmaları ve uygulanmaları sırasında kendilerine özgü ekipman
gerektirmeleri gibi nedenlerden dolayı kullandığımız 2.0 mm mini titanyum plak
ve 2.5 mm rezorbe olabilen plak kedilerde femurun orta diyafizer kırıklarında
klinik olarak kullanımlarının yararlı olmadığı kanısına varılmıştır.
References
- Aslanbey D, 2002: Veteriner Ortopedi ve Travmatoloji. 2nd ed, Medipres Yayınevi, pp 25-42, Ankara.
- Bilgili H, 2002: The use of mini-titanium plates for osteosynthesis in extremity fractures located near joints in cats and dogs. Turk J Vet Anim Sci, 2, 1289-1295.
- Brinker WO, Piermattei DL, Flo GL, 1983: Handbook of Small Animals Orthopedics and Fracture Treatment. 1st ed, W.B. Saunders Company, pp 514-530, Philadelphia.
- Deangelis M, 1975: Fractures of the femur. In: Bojrab MJ, Current Techniques in Small Animal Surgery, Lea and Febinger, pp 453-448, Philadelphia.
- Done SH, Goody PC, Evans SA, Stickland NC, 1996: Colour Atlas of Veterinary Anatomy, 2nd ed, pp 100-110, Mosby, UK.
- Dursun N, 2001: Veteriner Anatomi III. 1st ed, Medisan Yayınevi, Ankara, pp 22-23.
- Harari J, 2002: Treatments for feline long bone fractures. Vet Clin North Am Small Anim Pract, 32, 927-947.
- Jank S, Vaananen P, Kloss FR, Nurmi JT, Nuutinen JP, Jakonen S, Happonen H, 2010: Pullout strength of a biodegradable free form osteosynthesis plate. J Cranio-Maxillo-Facial Surgey, 38, 517-521.
- Jank S, Vaananen P, Nurmi JT, Nuutinen JP, Happonen H, Haers P, 2007: Three-point bending strength of a biodegradable ‘‘free-form’’ osteosynthesis plate. J Oral Maxillofacial Surgery, 65, 1080.
- Johnston SA, Lancaster RL, Hubbard RP, 1991: A biomechanical comparison of 7 hole 3.5 mm broad and 5 hole 4,5 mm narrow dynamic compression plates. Veterinary Surgery, 20, 235-239.
- Mcduffee L, Strover SM, Taylor KT, 1997: An in vitro biomechanical investigation of the mechanical properties of dynamic compression plated osteotomized adult equine tibiae. Veterinary Surgery, 26, 126-136.
- Olmstead ML, 1991: Complications of fractures repaired with plates and screws. Vet Clin North Am Small Anim Pract, 21, 669-686.
- Piermattei DL, Flo GL, Decamp CE, 2006: Handbook of Small Animals Orthopedics and Fracture Repair. 4th ed, W.B. Saunders Company, pp 512-557, Philadelphia.
- Schmelzeisen R, Mciff T, Rahn B, 1992: Further development of titanium miniplate fixation for mandibular fractures. Experience gained and questions raised from a prospective clinical pilot study with 2.0 mm fixation plates. J Cranio-Maxillo-Facial Surgey, 20, 251-56.
- Seber S, 1997: Biodegradable fiksasyon malzemeleri. Archives of Orthopaedic and Trauma Surgery, 31, 171-175.
- Simpson DJ, Lewis DD, 2002: Fractures of femur. In: Slatter D, Textbook of Small Animal Surgery. Saunders Company, pp 2072-2078, Philadelphia.
- Süer C, Sağlam M, 2006: Distribution of traumatic hind limb lesions and clinical studies of treatment possibilities in dogs. Ankara Üniv Vet Fak Derg, 53, 15-23.
- Tüzün B, Sağlam M, 2009: Feline high-rise syndrome. Ankara Üniv Vet Fak Derg, 56, 193-199.
- Ünlüsoy İ, Bilgili H, 2005: Köpeklerde intrameduller çivileme teknikleri ve uygulama alanları. Ankara Üniv Vet Fak Derg, 52, 85-91.
- Wallace AM, 2009: Feline combined diaphseal radial and ulnar fractures. Veterinary and Comparative Orthopaedics and Traumatology, 22, 38-46.
- Trimed İlaç Medikal San.Tic.Ltd.Şti. (1998) http://www.trimed.com.tr. [accessed 10 April 2014].
Details
| Subjects | Veterinary Surgery |
|---|---|
| Journal Section | Research |
| Authors | |
| Publication Date | December 27, 2017 |
| Submission Date | March 16, 2017 |
| Acceptance Date | June 2, 2017 |
| Published in Issue | Year 2017 Volume: 6 Issue: 2 |
