Kedi ve Köpeklerde Kalça Kırıkları Üzerine Retrospektif Bir Çalışma (2020-2022)

Yıl 2024, , 15 - 21, 31.03.2024

Emine Çatalkaya , Sadık Yayla , Semih Altan , Berna Ersöz Kanay , Nahit Saylak , Şimal Hatipoğlu

https://doi.org/10.30607/kvj.1370455

Cited By: 1

Öz

Kedi ve köpeklerde birçok travmada pelvik kırıklar meydana gelir. Bu çalışmada pelvik kırık tanısı konulan kedi ve köpeklerde tedavi (konservatif ve operatif) ve sonuçlarının birlikte değerlendirilmesi amaçlandı. Çalışma materyalini 2020-2022 yılları arasında farklı yaş, cins ve cinsiyetteki 27 köpek ve 75 kedide tespit edilen 223 pelvik kırık (15 asetabulum, 40 ischi, 68 ilium, 38 pubis ve 62 sakroiliak ayrılma) oluşturmuştur. Pelvis kırığı tanısı klinik ve radyolojik muayene ile konuldu. Konservatif ve operatif olarak (iliyosakral vida, iliosakral pin, kilitli plak, serklaj, asetebular C plak kullanılarak) tedavi edildi. Pelvik kırık vakalarının kedilerde en çok yüksekten düşme, köpeklerde ise trafik kazası sonucu meydana geldiği görüldü. Pelviste tek kırık olabileceği gibi birden fazla kırık da olabileceği gözlendi. Toplam 73 vaka ameliyat edildi. Kırıkların 55'ine iliosakral vida, 1'ine iliosakral pin, 45'ine kilitli plak, 9'una serklaj uygulaması, 10'una asetabular C plak ve 1'ine eksizyon artroplastisi uygulandı. 29 olguya konservatif tedavi uygulandı. Ameliyat edilen hastalarda yapılan kontrollerde herhangi bir komplikasyon görülmedi. Sakroiliak ayrılma durumlarında vidalarla stabilizasyonda iyi sonuçlar elde edildiği, ilium kırıklarında kilitli plak, asetabulum kırıklarında ise asetabular C plak kullanımının ameliyat sonrası dönemi daha rahat ve konforlu geçirebileceği sonucuna varıldı.

Anahtar Kelimeler

Asetabuler C plağı, kedi, köpek, kilitli plak, pelvik kırıklar

A Retrospective Study on Pelvic Fractures in Cats and Dogs (2020-2022)

Öz

Pelvic fractures occur in many traumas in cats and dogs. In this study, it was aimed to evaluate the treatment (conservative and operative) and its results together in cats and dogs diagnosed with pelvic fracture. The study material consisted of 223 pelvic fractures (15 acetabulum, 40 ischia, 68 ilium, 38 pubis and 62 sacroiliac separation) detected in 27 dogs and 75 cats of different ages, breeds and genders between 2020-2022. Pelvic fracture was diagnosed with clinical and radiological examination. It was treated conservatively and operatively (using iliosacral screw, iliosacral pin, locking plate, cerclage, acetabular C plate). It was observed that cases with pelvic fractures were mostly caused by falling from a height in cats and traffic accidents in dogs. It was also observed that there could be a single fracture in the pelvis as well as multiple fractures. A total of 73 cases were operated. In 55 of the fractures, iliosacral screw, 1 iliosacral pin, 45 locked plate, 9 cerclage application, 10 acetabular C plate and 1 excision arthroplasty were applied. Conservative treatment was applied to 29 cases. No complications were observed in the controls performed in the operated patients. It was concluded that good results were obtained in stabilization with screws in cases of sacroiliac separation, and the use of locking plates in ilium fractures and the use of acetebular C plate in acetabulum fractures could lead to a more comfortable and comfortable postoperative period.

Anahtar Kelimeler

Acetabular C plate, cats, dogs, locking plate, pelvic fractures

Etik Beyan

The study protocol was approved by the Dicle University Health Sciences Application and Research Center Local Ethics Committee (E-35582840-020-303463).

Destekleyen Kurum

This research did not receive any financial support.

Kaynakça

• Aksoy, Ö., & Özsoy, S. (2003). Treatment of Ossa Coxae Fractures and Related Complications in Cats and Dogs and Clinical Evaluation of Late Period Results. Kafkas Üniversitesi Veteriner Fakültesi Dergisi, 9(2):187-202.
• Altunatmaz, K., Aksoy, Ö., Özsoy, S. (2004). Radiographic evaluation of ossa coxae fractures and other orthopaedic lesions, occurring simultaneously i n dogs and cats (1992-2002): 621 cases. Istanbul Universitesi Veteriner Fakültesi Dergisi, 30(1): 1-9.
• Arıcan, M. (2019) (a). Pelvis kırıklarının değerlendirme kriterleri nelerdir? Kafes istirati mi? Cerrahi mi? KHVHD Uluslararası Sürekli Eğitim Kongresi. 8-10 Kasım, İstanbul.
• Arıcan, M. (2019) (b). Pelvis kırıklarına cerrahi yaklaşımlar. KHVHD Uluslararası Sürekli Eğitim Kongresi. 8-10 Kasım, İstanbul.
• Bouabdallah, R., Meghiref, F., Azzag, N., Benmohand, C., Zenad, W., Rebouh, M. (2020). Conservative management of pelvic fractures in dogs and cats in Algiers: Incidence and long-term clinical outcomes, Veterinary World, 13(11): 2416-2421. https://doi.org/10.14202/vetworld.2020.2416-2421.
• Bourbos, A., Cinti, F., Sergiampietri, F., Pisani, G. (2021). The Use of Intraoperative Skeletal Traction for the Repair of Pelvic Fractures: An Experimental Cadaveric Study. Vet Comp Orthop Traumatol, 34 (2): 79-84. https://doi.org/10.1055/s-0040-1716434.
• Denny, H. R., Butterworth, S. J. (2000). A Guide to Canine and Feline Orthopedic Surgery, 4th ed. Oxford: Blackwell Sci, 441–454, ABD.
• Gant, P., Asztalos, I. (2019). Retrospective evaluation of factors influencing transfusion requirements and outcome in cats with pelvic injury (2009-2014): 122 cases. J Vet Emerg Crit Care, 1-6. https://doi.org/10.1111/vec.12852.
• Hammer, M., Gutbrod, A., Sigrist, N. E., Jacot, V., Del Chicca, F., Evans, R., Pozzi, A. (2019). Predictors of comorbidities and mortality in cats with pelvic fractures. Vet Surg, 1-10. https://doi.org/10.1111/vsu.13369. Harasen, G. (2007). Pelvic fractures. Can Veterinary J, 48, 427-428.
• Kim, K. H., Lee, J. H., Yoon, H. Y., Jeong, S. W. (2011). Clinical analysis of pelvic fracture in 54 dogs. J Vet Clin, 28 (5): 467-472.
• Kipfer, N. M., Montavon, P. M. (2011). Fixation of pelvic floor fractures in cats. Vet Comp Orthop Traumatol, 2: 1-5. https://doi.org/10.3415/VCOT-09-12-0129.
• Lefman, S., Prittie, J. E. (2022). High-rise syndrome in cats and dogs. J Vet Emerg Crit Care, 32 (5): 571-581. https://doi.org/10.1111/vec.13206.
• Meeson, R. L., Geddes, A. T. (2015). Management and long-term outcome of pelvic fractures: a retrospective study of 43 cats. Journal of Feline Medicine and Surgery, 1-6. https://doi.org/10.1177/1098612X15606958.
• Meeson, R., Cor, S. (2011). Management of pelvic trauma. Neurological damage, urinary tractdisruption and pelvic fractures. Journal of Feline Medicine and Surgery, 13: 347–361. https://doi.org/10.1016/j.jfms.2011.03.011.
• Olmstead, M. L. (1998). The pelvis and sacroiliac joint. In: Coughlan A, Miller A (Eds). Manual of Small Animal Fracture Repair and Management. Cheltenham: Br Small Anim Vet Assoc, 217–219, England.
• Parlak, K., Zamirbekova, N., Uzunlu, E. O., Akyol, E. T., Yavru, N. (2021). Comparison of the Focused Assessment with Sonography for Trauma Protocol and Animal Trauma Triage Scoring System in Traumatized Dogs. Kafkas Univ Vet Fak Derg, 27 (4): 439-444. https://doi.org/10.9775/kvfd.2021.25457
• Piermattei, D. L., Flo, G. L., DeCamp, C. E. (2006). Handbook of Small Animal Orthopedics and Fracture Repair, 4th ed. St. Louis: Saunders, 433–460, USA.
• Pinna, S., Tassani, C., Rossini, M., Lanzi, F. (2021). External fixator for the treatment of narrowed pelvic canal in a cat. Vet Med-Czech, 66, 356–362. https://doi.org/10.17221/173/2020-VETMED
• Sadan, M. A., Amort, K., Kramer, M. (2016). Pelvic floor fractures in 55 dogs and 39 cats: Ct and X- ray findings. International Journal of Veterinary Sciences Research, 2 (1):1-7. https://doi.org/10.18488/journal.110/2016.2.1/110.1.1.7
• Sağlam, M., Yüksel, Çalık, E. (2016). Clinical and radiological evoluation of traumatic lesions on the pelvis and hip joint in cats. Vet Hekim Der Derg, 87 (1): 34-43.
• Yurtal, Z., Deveci, M. Z. Y., Alakuş, İ., Kırgız, Ö., Alakuş, H., İşler, C. T., Altuğ, M. E. (2022). Prevalence of pelvic fractures in cat and dogs: A retrospective study in 183 cases (2016-2020). J Adv VetBio Sci Tech, 7 (1): 109-114. https://doi.org/10.31797/vetbio.981133
• Zamirbekova, N., Uzunlu, E. O., Özdil, B., Arıcan, M. (2021). Clinical and radiological comparison of the application of bone plates on the lateral and dorsal side of the os ilium in the treatment of corpus ossis ilium fractures in cats. Eurasian J Vet Sci, 37 (1): 32-40. https://doi.org/10.15312/EurasianJVetSci.2021.323