Retrospective Evaluation of Tension Band Stabilisation for Iliac Body and/or Acetabular Fractures in Dogs and Cats

Abstract

Trauma-induced ilium and acetabular fractures are common in small animal practice. This study aims to retrospectively evaluate the clinical and radiographic outcomes of tension band stabilisation used in the treatment of iliac body and/or acetabular fractures in cats and dogs. The study included 12 patients (5 cats, 7 dogs) weighing less than 15 kg who were treated between 2019 and 2024. A total of 14 fractures (11 ilium, 3 acetabulum) were managed. The fractures were stabilised using orthopaedic wire wrapped in a figure-of-eight pattern around screws placed in the bone fragments. In cases of acetabular fractures, prophylactic femoral head and neck excision (FHO) was performed in addition to stabilisation to eliminate the risk of postoperative degenerative joint disease (osteoarthritis). The mean surgical duration was 27±5 min for ilium fractures and 57±2 min for acetabular fractures. Seventy-five per cent of patients (9/12) began using the affected limb on the first postoperative day. Clinical outcomes were assessed as excellent in 67% of patients and good in 33%. Minor complications, such as suture dehiscence and edema, were recorded in only two cases. Screw tension band stabilisation performed without the use of polymethyl methacrylate (PMMA) can be considered a practical, cost-effective alternative that yields satisfactory clinical results in the treatment of iliac and acetabular fractures in cats and dogs weighing less than 15 kg. In particular, combining the technique with FHO in acetabular fractures has resulted in a satisfactory functional outcome.

Keywords

• Acetabulum
• cat
• dog
• fracture
• ilium
• tension band

Ethical Statement

This retrospective study is not subject to HADYEK authorization under Article 8 (k) of the "Regulation on the Practice and Basics of Animal Experiment Ethics Boards".

Kedi ve Köpeklerde Korpus İlium ve/veya Asetabular Kırıkların Germe Bandı ile Stabilizasyonunun Rertrospektif Değerlendirilmesi

Abstract

Küçük hayvan hekimliğinde travmaya bağlı ilium ve asetabular kırıklar sık meydana gelir. Bu çalışma, kediler ve köpeklerde korpus ilium ve/veya asetabular kırıkların tedavisinde kullanılan germe bandı stabilizasyonunun klinik ve radyografik sonuçlarını retrospektif olarak değerlendirmeyi amaçlamaktadır. Çalışmaya 2019 ile 2024 yılları arasında ilium ve/veya asetablar kırık şikayeti ile getirilen ve ağırlığı 15 kg’dan az olan 12 hasta (5 kedi, 7 köpek) dahil edilmiştir. Toplam 14 kırık (11 ilium, 3 asetabulum) tedavi edildi. Kırık stabilizasyonu için fragmentlere vida yerleştirildi ve etrafından 8 şekilde geçirilen serklaj teli germe bandı olarak uygulandı. Asetabular kırık vakalarında, postoperatif dejeneratif eklem hastalığını (osteoartrit) önlemek için stabilizasyona ek olarak profilaktik femur başı ve boynu eksizyonu (FHO) uygulandı. Ortalama ameliyat süresi ilium kırıklarında 27 ± 5 dakika, asetabular kırıklarda ise 57 ± 2 dakika olarak kaydedildi. Hastaların %75'i (9/12) ameliyatan sonraki gün etkilenen ekstremitelerini kullanmaya başladı. Klinik sonuçlar hastaların %67'sinde mükemmel, %33'ünde ise iyi olarak değerlendirildi. Dikiş açılması ve ödem gibi hafif komplikasyonlar yalnızca iki vakada kaydedildi. Polimetil metakrilat (PMMA) kullanılmadan yapılan vida germe bandı stabilizasyonu, 15 kg'dan daha hafif kediler ve köpeklerde ilium ve asetabular kırıkların tedavisinde tatmin edici klinik sonuçlar veren pratik ve maliyet etkin bir alternatif olarak değerlendirildi. Özellikle, asetabular kırıklarda bu tekniğin FHO ile birleştirilmesi tatmin edici fonksiyonel sonuçlar sağladığı görüldü.

Keywords

• Asetabulum
• kedi
• köpek
• kırık
• ilium
• germe bandı

Ethical Statement

Bu retrospektif çalışma, “Hayvan Deneyleri Etik Kurullarının Çalışma Usulü ve Temel İlkeleri Hakkında Yönetmelik”in 8. maddesinin (k) bendi uyarınca HADYEK onayına tabi değildir.

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