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DOI: 10.3415/VCOT-08-02-0012
Feline combined diaphyseal radial and ulnar fractures
A retrospective study of 28 casesPublication History
Received:
03 February 2008
Accepted:
07 April 2008
Publication Date:
17 December 2017 (online)
Summary
Feline combined diaphyseal radial and ulnar fractures were reviewed in a retrospective study of cases that were admitted to two university teaching hospitals. A high incidence of complications was noted, with 6/26 (23.1%) of cases requiring revision surgery. Open fractures were significantly more likely to require revision surgery. The two main repair methods were external skeletal fixation (ESF) or radial plating. The success rate was greater for radial plating, with only 1/10 (10%) cases requiring revision versus 4/14 (28.6%) for ESF. However, ESF tended to be applied to the more complicated fractures. Stabilisation of both bones proved to be an effective repair strategy with only 1/8 cases (12.5%) requiring revision versus 5/18 cases (27.8%) where only one bone was stabilised. Synostoses and radiohumeral luxation were noted as complications associated with the fractures stabilised by ESF. Final limb function following recovery was assessed as ‘good’ or ‘excellent’ in 93.3% of cases.
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References
- 1 Larin A, Eich CS, Parker RB. et al. Repair of diaphyseal femoral fractures in cats using interlocking intramedullary nails: 12 cases (1996–2000). J Am Vet Med Assoc 2001; 219: 1098-1104.
- 2 Langley-Hobbs SJ, Carmichael S, McCartney WT. External skeletal fixation for stabilisation of comminuted humeral fractures in cats. J Small Anim Pract 1997; 38: 280-285.
- 3 Langley Hobbs SJ, Carmichael S, McCartney WT. Use of external skeletal fixators in the repair of fe-moral fractures in cats. J Small Anim Pract 1996; 37: 95-101.
- 4 Gemmill TJ, Cave TA, Clements DN. et al. Treatment of canine and feline diaphyseal radial and tibial fractures with low stiffness external fixation. J Small Anim Pract 2004; 45: 85-91.
- 5 Haas B, Reichler IM, Montavon PM. Use of the tubular external fixator in the treatment of distal radial and ulnar fractures in small dogs and cats. Vet Comp Orthop Traumatol 2003; 16: 132-137.
- 6 McCartney W. Use of the modified acrylic external fixator in 54 dogs and 28 cats. Vet Rec 1998; 143: 330-334.
- 7 Griffon DJ, Walter PA, Wallace LJ. Thoracic injuries in cats with traumatic fractures. Vet Comp Orthop Traumatol 1999; 12: 74-77.
- 8 Schrader SC. Orthopaedic Surgery. In: The cat: clinical diseases and clinical management. 2nded. Sherding RG. editor. New York: Churchill Livingstone; 1994: 1649-1710.
- 9 Smith CW. Feline orthopaedics. Feline Pract 1994; 22: 16-27.
- 10 Phillips IR. A survey of bone fractures in the dog and cat. J Small Anim Pract 1979; 20: 661-674.
- 11 Knecht CD. Fractures in cats: A survey of 100 cases. Feline Pract 1978; 8: 43-46.
- 12 Hill FWG. A survey of bone fractures in the cat. J Small Anim Pract 1977; 18: 457-463.
- 13 Scott H. Repair of long bone fractures in cats. In Practice 2005; 27: 390-397.
- 14 Toombs JP, Wallace LJ, Bjorling DE. et al. Evaluation of Key’s hypothesis in the feline tibia: An experimental model for augmented bone healing studies. Am J Vet Res 1985; 46: 513-518.
- 15 Chandler JC, Beale BS. Feline Orthopaedics. Clin Tech Small Anim Pract 2002; 17: 190-203.
- 16 Newton CD. Normal joint range of motion in the dog and cat – Appendix B. In: Textbook of Small Animal Orthopaedics Newton CD, Nunamaker DM. (eds). Philadelphia: JB Lipincott; 1985: 1106
- 17 Farrell M, Draffan D, Gemmill T. et al. In vitro validation of a technique for assessment of canine and feline elbow joint collateral ligament integrity and description of a new method for collateral ligament prosthetic replacement. Vet Surg 2007; 36: 548-556.
- 18 Larsen LJ, Roush JK, McLaughlin RM. Bone plate fixation of distal radius and ulna fractures in small and miniature breed dogs. J Amer Anim Hosp Assoc 1999; 35: 243-250.
- 19 Welch JA, Boudrieau RJ, DeJardin LM. et al. The intraosseous blood supply of the canine radius: Implications for healing of distal fractures in small dogs. Vet Surg 1997; 26: 57-61.
- 20 Lappin MR, Aron DN, Herron HL. et al. Fractures of the radius and ulna in the dog. J Amer Anim Hosp Assoc 1983; 19: 643-650.
- 21 Hunt JM, Aitken ML, Denny HR. et al. The complications of diaphyseal fractures in dogs: a review of 100 cases. J Small Anim Pract 1980; 21: 103-119.
- 22 Sumner-Smith G, Cawley AJ. Nonunion of fractures in the dog. J Small Anim Pract 1970; 11: 311-325.
- 23 Vaughan LC. A clinical study of non-union fractures in the dog. J Small Anim Pract 1964; 5: 173-177.
- 24 Hamilton MH, Langley-Hobbs SJ. Use of the AO veterinary mini ‘T’ plate for stabilisation of distal radius and ulna fractures in toy breed dogs. Vet Comp Orthop Traumatol 2005; 18: 18-25.
- 25 Dudley M, Johnson AL, Olmstead M. et al. Open reduction and bone plate stabilisation, compared with closed reduction and external fixation, for treatment of comminuted tibial fractures: 47 cases (1980–1995) in dogs. J Am Vet Med Assoc 1997; 211: 1008-1012.
- 26 Nolte DM, Fusco VF, Peterson ME. Incidence of and predisposing factors for non-union of fractures involving the appendicular skeleton in cats: 18 cases (1998–2002). J Am Vet Med Assoc 2005; 226: 77-82.
- 27 Harari J. Treatments for feline long bone fractures. Vet Clin North Am Small Anim 2002; 32: 927-947.
- 28 Leighton RL, Robinson G. Orthopaedic Surgery. In: Diseases of the cat Holzworth J. Ed. Philadelphia: W.B. Saunders; 1987: 100-145.
- 29 Pesola GR Feinberg GA, Ahsan H. Preferential distal radius fracture in right handed individuals presenting to an ED. Am J Emerg Med 2003; 7: 552-555.