Surgical repair of a tibial fracture in a Belgian Landrace pig

Summary

This paper reports the surgical treatment of a tibial fracture in a castrated adult male Belgian Landrace pig of 180 kg. The fracture was repaired using an intramedullary Steinmann pin, combined with cerclage wire and external transfixation. In contrast to other animal species, the fracture repair in the pig was hindered by the short and curved bones, the thick subcutaneous fat layer and the pronounced musculature. Postoperatively, the pig developed an osteomyelitis of the tibia due to pin tract contamination. Despite this complication, the fracture healed acceptably when all fixation material was removed two months after surgery. The infection resolved quickly and a satisfactory clinical result was obtained.

Keywords

Tibia - fracture - surgical treatment - osteomyelitis - pig

• References

• 1 Vaughan LC. The repair of fractures in pigs. Vet Rec 1966; 79: 2-8.
• 2 Aithal HP, Singh GR, Hoque M. et al. The use of a circular external skeletal fixation device for the management of long bone osteotomies in large ruminants: an experimental study. J Vet Med A Physiol Pathol ClinMed 2004; 51: 284-93.
• 3 Hamilton GF, Tulleners EP. Transfixation pinning of proximal tibial fractures in calves. J Am Vet Med Assoc 1980; 176: 725-7.
• 4 Kumar R, Prasad B, Singh J. et al. Cross-pinning technic for compound subarticular bovine fractures. Mod Vet Pract 1981; 62: 61-2.
• 5 Martens A, Steenhaut M, Gasthuys F. et al. Conservative and surgical treatment of tibial fractures in cattle. VetRec 1998; 143: 12-6.
• 6 St-Jean G, Clem MC, DeBowes RM. Transfixation pinning and casting of tibial fractures in calves: Five cases (1985-1989). J Am Vet Med Assoc 1991; 198: 139-43.
• 7 Verschooten F, De Moor A, Desmet P. et al. Surgical treatment of tibial fractures in cattle. Vet Rec 1972; 90: 24-9.
• 8 Vijaykumar DS, Singh APC, Nigam JM. et al. Repair of bovine tibial fractures. Vet Med Small AnimClin 1982; 77: 1109-14.
• 9 Gasthuys F. Anesthesie 'te velde' van varken en paard. Vlaams Diergeneeskundig Tijdschrift 2005; 74: 98-9.
• 10 Dzikiti TB, Hellebrekers LJ, van Dijk P. Effects of intravenous lidocaine on isoflurane concentration, physiological parameters, metabolic parameters and stress-related hormones in horses undergoing surgery. J Vet Med A Physiol Pathol Clin Med 2003; 50: 190-5.
• 11 Valverde A, Doherty TJ, Hernandez J. et al. Effect of lidocaine on the minimum alveolar concentration of isoflurane in dogs. Vet Anaesth Analg 2004; 31: 264-71.
• 12 Brinker WO, Piermattei DL, Flo GL. Fractures of the tibia and fibula. In: Handbook of Small Animal Orthopedics & Fracture Treatment. Brinker WO, Piermattei DL, Flo GL. (eds.) W B. Saunders Company; Philadelphia: 1990: 140-55.