Download PDF
Vet Comp Orthop Traumatol 1992; 05(04): 170-175
DOI: 10.1055/s-0038-1633105
Case Report
Schattauer GmbH

Treatment of Complicated Femoral Fractures With External Skeletal Fixation Utilizing Bone Screws and Polymethylmethacrylate

T. L. Dew
1   Department of Small Animal Clinical Sciences, VA-MD Regional College of Veterinary Medicine, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, USA
,
D. A. Kern
1   Department of Small Animal Clinical Sciences, VA-MD Regional College of Veterinary Medicine, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, USA
,
S. A. Johnston
1   Department of Small Animal Clinical Sciences, VA-MD Regional College of Veterinary Medicine, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, USA
› Author Affiliations
Further Information

Publication History

Received for publication 02 March 1992

Publication Date:
06 February 2018 (online)

    Permissions and Reprints

Two femoral fractures initially treated using ASIF methods failed to proceed to union prior to implant loosening. The Inoue method of external skeletal fixation (ESF) employing AO/ASIF screws for fracture fragment fixation, a polymethylmethacrylate (PMMA) side bar and cancellous bone grafting was used. The dogs retained good limb function while the external fixators were in place. In case # 1 the fracture proceeded to union without further complications. The dog in case # 2 maintained good limb function, however fixation screw failure occurred prior to complete fracture healing.

Keywords

Inoue technique - external skeletal fixation - fracture non-union - polymethylmethacrylate
 

  • REFERENCES

  • 1 Aron DN, Toombs JR. Updated principles of external skeletal fixation. Compend Contain Educ 1984; 6: 845-59.
    PubMedGoogle Scholar
  • 2 Renegar WR, Leeds EB, Olds RB. The use of the Kirschner-Ehmer splint in clinical orthopedics Part I. Long bone and mandibular fractures. Compend Contin Educ 1982; 4: 381-92.
    PubMedGoogle Scholar
  • 3 Egger EL. External skeletal fixation. In: Current Techniques in Small Animal Surgery. Bojrab MJ. (ed). Philadelphia: Lea & Febiger; 1990: 816-25.
    Google Scholar
  • 4 Mears DC. Nonunions, infected nonunions and arthrodeses. In: External Skeletal Fixation. Mears DC. (ed). Baltimore: Williams & Wilkins; 1983: 93-160.
    Google Scholar
  • 5 Aron DN, Toombs JP, Hollingsworth SC. Primary treatment of severe fractures by external skeletal fixation: Threaded pins compared with smooth pins. J Am Anim Hosp Assoc 1986; 22: 659-70.
    PubMedGoogle Scholar
  • 6 Olds R, Green S. Hoffmann’ s external fixation for arthrodesis and infected non-unions in the dog. J Am Anim Hosp Assoc 1983; 19: 705-12.
    PubMedGoogle Scholar
  • 7 Roc SC, Johnson AL, Harai J. Placement of multiple full pins for external fixation: technique and results in four dogs. Vet Surg 1985; 14: 247-52.
    CrossrefPubMedGoogle Scholar
  • 8 Egger EL, Histand MB, Blass CE. et al. Effect of fixation pin insertion on the bone-pin interface. Vet Surg 1986; 15: 246-52.
    CrossrefPubMedGoogle Scholar
  • 9 Weber BG. On the biomechanics of external fixation. In: The External Fixator. Weber BG, Magerl F. (eds). Berlin: Springer; 1985: 27-53.
    CrossrefGoogle Scholar
  • 10 Bennet RA, Egger EL, Histand M. et al. Comparison of the strength and holding power of 4 pin designs for use with half pin (type I) external skeletal fixation. Vet Surg 1987; 16: 207-11.
    CrossrefPubMedGoogle Scholar
  • 11 Brinker WO, Verstraete MC, Soutas-Little RW. Stiffness studies on various configurations and types of external fixators. J Am Vet Med Assoc 1985; 21: 801-8.
    PubMedGoogle Scholar
  • 12 Briggs BT, Chao EYS. The mechanical performance of the standard Hoffmann Vidal external fixation apparatus. J Bone Joint Surg 1982; 64: 563-73.
    PubMedGoogle Scholar
  • 13 Johnson SG, Hulse DA, VanGundy TE. et al. Corrective osteotomy for pes varus in the dachshund. Vet Surg 1989; 18: 373-9.
    CrossrefPubMedGoogle Scholar
  • 14 Mears DC. Available techniques of external fixation. In: External Skeletal Fixation. Mears DC. (ed). Baltimore: Williams & Wilkins; 1983: 14-41.
    Google Scholar
  • 15 Ichida M, Inoue S, Ohashi T. et al. Application of external skeletal fixation using self-curing acrylic resin in plastic surgery. Jpn J Reconstr Surg 1976; 19: 57.
    PubMedGoogle Scholar
  • 16 Inoue S, Ichida M, Suzu F. et al. External skeletal fixation using methylmethacrylate -Technique and indication with clinical report. Int Orthop 1977; 1: 64.
    CrossrefPubMedGoogle Scholar
  • 17 Ohashi T, Inoue S, Kajikawa K. External skeletal fixation using methylmethacrylate: Current technique, clinical results and indications. Clin Orthop 1983; 178: 121-9.
    PubMedGoogle Scholar
  • 18 Behrens F. General theory and principles of external fixation. Clin Orthop 1989; 241: 15-23.
    PubMedGoogle Scholar
  • 19 Palmer RH, Aron DN. Ellis pin complications in seven dogs. Vet Surg 1990; 19: 440-5.
    CrossrefPubMedGoogle Scholar
  • 20 Chao EY, Aro HT, Lewallen DG. et al. The effect of rigidity on fracture healing in external fixation. Clin Orthop 1989; 241: 24-35.
    PubMedGoogle Scholar
  • 21 Schatzker J, Sanderson R, Murnaghan JP. The holding power of orthopedic screws. Clin Orthop 1975; 108: 115-26.
    CrossrefPubMedGoogle Scholar
  • 22 Wilier RL, Egger EL, Histand MB. Com parison of stainless steel versus acrylic for the connecting bar of external skeletal fixators. J Am Anim Hosp Assoc 1991; 27: 541-8.
    PubMedGoogle Scholar