Treatment of Proximal Tibial Fracture of a Calf by Using Linear External Fixator

Abstract

In this case report, treatment of the proximal tibial fracture of a calf with a linear external fixator (orthofix) system was presented. Oblique fracture was diagnosed proximal to right tibia regarding the clinical and radiological findings. Following the routine preparatory steps for the operation, the extremity was suspended and the fracture was reduced with orthofix from the lateral side of the tibia under general anesthesia. After the operation, it was observed that the calf could functionally use the related extremity from the first day. The consolidation was completed on the 41^st day, and the fixator was removed on 47^th day. In conclusion, it was considered that the proximal tibial fractures of calves could be successfully treated with a linear external fixator.

Keywords

• Calf,fracture,external fıxator

References

1. Aithal HP, Amarpal A, Kinjavdekar P, et al. Management of fractures near the carpal joint of two calves by transarticular fixation with a circular external fixator. Vet Rec 2007; 161:193-198.
2. Aithal HP, Singh GR, Hoque M, et al. The use of long bone osteotomies in large ruminants: an experimental study. J Vet Med Sci 2004; 51:284-293.
3. Aransohn MG, Burk RL. Unilateral uniplanar external skeletal fixation for ısolateddiaphyseal tibial fracture in skeletally ımmature dogs. Vet Surg 2009; 38:654-658.
4. Behrens F. General theory and principles of external fixation. Clin Orthop Rel Resn 1989; 24:15.
5. Bilgili H, Kürüm B, Olcay B. Investigation of treatment possibilities of long bone fractures in calves with Ilizarov technique. Ankara Univ Vet Fak 1999; 16:299–308.
6. Çakmak M, Bilen FE. Çerçeve kurma teknikleri. In:Çakmak M, Kocaoglu (eds). İlizarov Cerrahisi ve Prensipleri. İstanbul: M. Doruk Grafi, 1999; 99-105.
7. De Godoy RF, Richard R, Lilian A. Treatment of a periarticular tibial fracture in a foal with a hybrid external fixator. Vet Surg 2009; 38:650-653.
8. Ferguson JG. Femoral fractures in the newborn calf: biomechanics and etiological considerations for practitioners. Can Vet J 1994; 35:626-630.

9. Görgül OS, Seyrek İntaş D, Çelimli N, et al. Evaluation of fracture cases in the calf: 31 cases (1996-2003). Vet Surg 2004; 10:16-20.
10. Gülşen M. Ilizarov teknik uygulamalar ve endikasyonları. 15. İlizarov EğitimToplantısı. Adana: 14-16 Mayıs 2010.
11. Guy SJ. Trans-fixation pinning and casting of tibial fractures in calves: Five cases (1985-1989). J Am Vet Med 1991; 1:139-143.
12. Havıtçıoglu H. Ilizarov external fixator application biomechanical principles. In:Çakmak M, Kocaoglu M (eds). Ilizarov Surgery and Its Principles. Istanbul: Doruk Graphics, 1999: 35-46.
13. Martens A. Conservative and surgical treatment of tibial fractures in cattle. Vet Rec 1998; 143 (1):12-16.
14. Mattern KKA, Lewis DD. Dicondylar humeral fracture stabilization in a dog using a transilial rod and external fixation. J Small Anim Pract 2008; 49:148-151.
15. Moll HD, Modransky PD, Pleasant RS. Use of type 2 external skeletal fixator for repair of delayed union in three calves with forelimb fracture. J Am Vet Med 1995; 206 (11):1752-1755.
16. Olcay B. Treatment of communitive diaphyseal metacarpal fracture Ilizarov circular external fixation system in two calves. Isr J Vet Med 1999; 54 (4):122–127.Öztaş E, Avki S. Evaluation of acrylic pin external fixation (APEF) system in metacarpal fractures of newborn calves: cheap but effective. Kafkas Unıv Vet Fak 2015; 21 (3):433-436.
17. Patel TP, Mistry JN, Patel PB, Panchal KN, Gami MS. Clinical and radiographic evaluation of tibia fracture management using intramedullary pinning – a study in three calves. Intas Polivet 2012; 13 (2):435-439.
18. Piermattei DL, Flo GL, De Camp CE. Fractures classification diognosis and treatment. In: Piermattei DL. (ed). Handbook of Small Animal Orthopedics and Fracture Repair. Philadelphia: WB Saunders Co, 2006; 125-159.
19. Rovesti GL, Bosio A, Marcellin-Little DJ. Management of 49 antebrachial and crural fractures in dogs using circular external fixators. J Small AnimPract 2007; 48:194-200.
20. Sande R. Radiography of orthopedic trauma and fracture repair. Vet Clin N S Ani Pract 1999; 29 (5):1247-1260.
21. Singh GR, Aithal HP, Amarpal A, et al. Evaluation of two dynamic axial fixators for large ruminants. Vet Surg 2007; 36:88-97.