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Bir Kedide Koksofemoral Luksasyon ve Tip-1 Salter Harris Femur Kırığının Toggle Pin ve Cross Pin Yöntemleriyle Sağaltımı

Year 2019, Volume: 30 Issue: 1, 67 - 69, 25.03.2019

Abstract

Vakayı 5 aylık, 1 kg ağırlığında, melez erkek bir kedi oluşturdu. Radyografide sağ koksofemoral çıkık ve sağ Salter Harris Tip-1 femur kırığı belirlendi. Kalça çıkığında Toggle pin ve Tip-1 Salter Harris femur kırığında çapraz pin yöntemleri ile fiksasyon uygulandı. Öncelikle oluşturulan asetabular tünelden pelvis boşluğuna Toggle pin yerleştirildi. Takiben femoral tünel oluşturularak Toggle pine bağlı 0.5 mm çaplı monoflament naylon ipin uçları bu tünelden geçirildi ve caput femoris asetabuluma yerleştirilerek eklem hareketi kontrol edildi. Son olarak ipin uçları trohanter mayörün kaudolateral açısında düğümlenerek sabitlendi. Tip-1 Salter Harris femur kırığında kraniyolateral yaklaşım ile diz eklemine ulaşıldı. Femurun distal bölümü açığa çıkarılarak 2-3.2 mm çaplı pinler ile mediyal ve lateral kondüllerden femura çapraz çivileme ile fiksasyon yapıldı. Ameliyat sonrasında arka bacak aluminyum atelli bandaj ile desteklendi ve kalça bölgesi yumuşak bandaj ile korundu. Rutin postoperatij ilaç uygulamaları bir hafta süreyle yapıldı ve destekli bandaj 3 hafta sonra çıkarıldı. Hasta ameliyattan sonraki ikinci günde yürüyebildiği ve 3 hafta sonra bandaj uzaklaştırıldığında tam ağırlık vererek basabildiği gözlendi. Aynı zamanda 3 hafta sonraki radyografilerde kırık kallus oluşumunun yeterli düzeyde ve kalça eklemi stabilizasyonunun çok iyi olduğu değerlendirildi. Postoperatif herhangi bir komplikasyona rastlanmadı.

References

  • Çağatay S, Sağlam M (2013) Clinical and radiographical assessments of treatment of Salter-Harris type fractures in cat and dog. Ankara Üniv Vet Fak Derg 60:109-116.
  • Çetinkaya MA, Olcay B (2011) Köpek ve kedilerde koksofemoral eklem luksasyonlarının sağaltımında monofilament naylon dikiş materyali ile toggle pin uygulamaları ve klinik değerlendirmeleri üzerine çalışmalar. Ankara Üniv Vet Fak Derg 58:167-174.
  • Demko JL, Sidaway BK, Thieman KM, Fox DB (2006) Toggle rod stabilization for treatment of hip joint luxation in dogs: 62 cases (2000–2005). J Am Vet Med Assoc 229:984–989.
  • Ergin I, Senel OO, Ozdemir O, Ulusan S, Bilgili H (2016) Treatment of Coxofemoral Luxations by Double-sided Modified Toggle Pin Technique and Assessment of Early Results in Cats: 17 Cases. Ankara Univ Vet Fak Derg 63(2):121-126.
  • Kaya Ü, Candaş A (2000) Operative management of medial condylar fracture of femur (Salter-Harris Type III) in two dogs. Ankara Univ Vet Fac Derg 47:237-241.
  • Lubbe AM, Verstraete FJM (1990) Fascia lata loop sta¬bilization of the coxofemoral joint in the dog and cat. Journal of Small Animal Practice 31:234–238.
  • Martini FM, Simonazzi B, Del Bue M (2001) Extra-ar¬ticular absorbable suture stabilization of coxofemoral luxation in dogs. Veterinary Surgery 30:468–475.
  • Piermattei DL, Flo GL, DeCamp CE (2006) The Hip Joint. In: (Editors: Piermattei DL, Flo GL, DeCamp CE) Handbook of Small Animal Orthopedics and Fracture Repair. 4th ed. Philadelphia: W.B. Saunders Co. pp 461–511.
  • Sukhiani HR, Holmberg DL (1997) Ex vivo biomechanical comparison of pin fixation techniques for canine distal femoral physeal fractures. Veterinary Surgery 26:398-407.
  • Tamburro R, Carli F, Cinti F, Puggioni A, Venturini A (2013) Caudal approach and Mini TightRope system (mTR) application for the treatment of craniodorsal hip luxation in a cat: a case report. Veterinarni Medicina 58(9):500-4.
  • Trostel CT, Peck JN, De Haan JJ (2000) Spontaneous bilateral coxofemoral luxation in four dogs. Journal of American Animal Hospital Association 36:268-276.

Treatment of Coxofemoral Luxation and Type-1 Salter Harris Femur Fracture in a Cat by Toggle Pin and Cross Pin Methods

Year 2019, Volume: 30 Issue: 1, 67 - 69, 25.03.2019

Abstract

This case was 5 month of age, 1 kg in weight and a hybrid male cat. In
radiographic examination, coxofemoral luxation and right Type-I Salter Harris
femur fracture were diagnosed. It was performed by methods of Toggle pin in hip
luxation and cross pin in
Type-I Salter Harris femur fracture. Toggle pin was placed via acetabular tunnel and femoral tunnel. After caput femoris was placed in the acetabulum, the joint mobility was
checked.
In Type-I Salter Harris femur fracture, the
cross-pinning after reduction was performed using 2-3.2 mm diameter
pins. Any
postoperative complication was not found until.

References

  • Çağatay S, Sağlam M (2013) Clinical and radiographical assessments of treatment of Salter-Harris type fractures in cat and dog. Ankara Üniv Vet Fak Derg 60:109-116.
  • Çetinkaya MA, Olcay B (2011) Köpek ve kedilerde koksofemoral eklem luksasyonlarının sağaltımında monofilament naylon dikiş materyali ile toggle pin uygulamaları ve klinik değerlendirmeleri üzerine çalışmalar. Ankara Üniv Vet Fak Derg 58:167-174.
  • Demko JL, Sidaway BK, Thieman KM, Fox DB (2006) Toggle rod stabilization for treatment of hip joint luxation in dogs: 62 cases (2000–2005). J Am Vet Med Assoc 229:984–989.
  • Ergin I, Senel OO, Ozdemir O, Ulusan S, Bilgili H (2016) Treatment of Coxofemoral Luxations by Double-sided Modified Toggle Pin Technique and Assessment of Early Results in Cats: 17 Cases. Ankara Univ Vet Fak Derg 63(2):121-126.
  • Kaya Ü, Candaş A (2000) Operative management of medial condylar fracture of femur (Salter-Harris Type III) in two dogs. Ankara Univ Vet Fac Derg 47:237-241.
  • Lubbe AM, Verstraete FJM (1990) Fascia lata loop sta¬bilization of the coxofemoral joint in the dog and cat. Journal of Small Animal Practice 31:234–238.
  • Martini FM, Simonazzi B, Del Bue M (2001) Extra-ar¬ticular absorbable suture stabilization of coxofemoral luxation in dogs. Veterinary Surgery 30:468–475.
  • Piermattei DL, Flo GL, DeCamp CE (2006) The Hip Joint. In: (Editors: Piermattei DL, Flo GL, DeCamp CE) Handbook of Small Animal Orthopedics and Fracture Repair. 4th ed. Philadelphia: W.B. Saunders Co. pp 461–511.
  • Sukhiani HR, Holmberg DL (1997) Ex vivo biomechanical comparison of pin fixation techniques for canine distal femoral physeal fractures. Veterinary Surgery 26:398-407.
  • Tamburro R, Carli F, Cinti F, Puggioni A, Venturini A (2013) Caudal approach and Mini TightRope system (mTR) application for the treatment of craniodorsal hip luxation in a cat: a case report. Veterinarni Medicina 58(9):500-4.
  • Trostel CT, Peck JN, De Haan JJ (2000) Spontaneous bilateral coxofemoral luxation in four dogs. Journal of American Animal Hospital Association 36:268-276.
There are 11 citations in total.

Details

Primary Language English
Subjects Veterinary Surgery
Journal Section Articles
Authors

Muhammed Enes Altug 0000-0003-3896-9944

Ziya Yurtal 0000-0001-6080-1860

Mehmet Zeki Yılmaz Deveci 0000-0002-9532-247X

Cafer Tayer İşler 0000-0002-1910-8316

Halil Alakuş This is me 0000-0001-9265-2310

Publication Date March 25, 2019
Submission Date July 12, 2018
Acceptance Date December 16, 2018
Published in Issue Year 2019 Volume: 30 Issue: 1

Cite

APA Altug, M. E., Yurtal, Z., Deveci, M. Z. Y., İşler, C. T., et al. (2019). Treatment of Coxofemoral Luxation and Type-1 Salter Harris Femur Fracture in a Cat by Toggle Pin and Cross Pin Methods. Van Veterinary Journal, 30(1), 67-69.
AMA Altug ME, Yurtal Z, Deveci MZY, İşler CT, Alakuş H. Treatment of Coxofemoral Luxation and Type-1 Salter Harris Femur Fracture in a Cat by Toggle Pin and Cross Pin Methods. Van Vet J. March 2019;30(1):67-69.
Chicago Altug, Muhammed Enes, Ziya Yurtal, Mehmet Zeki Yılmaz Deveci, Cafer Tayer İşler, and Halil Alakuş. “Treatment of Coxofemoral Luxation and Type-1 Salter Harris Femur Fracture in a Cat by Toggle Pin and Cross Pin Methods”. Van Veterinary Journal 30, no. 1 (March 2019): 67-69.
EndNote Altug ME, Yurtal Z, Deveci MZY, İşler CT, Alakuş H (March 1, 2019) Treatment of Coxofemoral Luxation and Type-1 Salter Harris Femur Fracture in a Cat by Toggle Pin and Cross Pin Methods. Van Veterinary Journal 30 1 67–69.
IEEE M. E. Altug, Z. Yurtal, M. Z. Y. Deveci, C. T. İşler, and H. Alakuş, “Treatment of Coxofemoral Luxation and Type-1 Salter Harris Femur Fracture in a Cat by Toggle Pin and Cross Pin Methods”, Van Vet J, vol. 30, no. 1, pp. 67–69, 2019.
ISNAD Altug, Muhammed Enes et al. “Treatment of Coxofemoral Luxation and Type-1 Salter Harris Femur Fracture in a Cat by Toggle Pin and Cross Pin Methods”. Van Veterinary Journal 30/1 (March 2019), 67-69.
JAMA Altug ME, Yurtal Z, Deveci MZY, İşler CT, Alakuş H. Treatment of Coxofemoral Luxation and Type-1 Salter Harris Femur Fracture in a Cat by Toggle Pin and Cross Pin Methods. Van Vet J. 2019;30:67–69.
MLA Altug, Muhammed Enes et al. “Treatment of Coxofemoral Luxation and Type-1 Salter Harris Femur Fracture in a Cat by Toggle Pin and Cross Pin Methods”. Van Veterinary Journal, vol. 30, no. 1, 2019, pp. 67-69.
Vancouver Altug ME, Yurtal Z, Deveci MZY, İşler CT, Alakuş H. Treatment of Coxofemoral Luxation and Type-1 Salter Harris Femur Fracture in a Cat by Toggle Pin and Cross Pin Methods. Van Vet J. 2019;30(1):67-9.

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