Leczenie braku zrostu septycznych złamań kości przedramienia i kości podudzia u psów
Surgical technique
Methadone (Eptadone: Molteni, Scandicci, Italy) (0.2 mg/kg, IM) was administered for premedication. General anaesthesia was induced with propofol (Rapinovet: Schering-Plough S.a.S, Wicklow, Ireland) (1-4 mg/kg, IV) and maintained with 1.5-2% isofluorane (Isoflo: Schering-Plough S.a.S, Wicklow, Ireland) in oxygen.
The limb was prepared for aseptic surgery in a routine fashion. Cefazolin sodium (Cefazolina Dorom: Teva Pharma Italia, Milano, Italy) (20 mg/kg, IV) was administered to all dogs 30 minutes before surgery. Dogs were positioned in dorsal recumbency and a standard hanging limb preparation was used for both antebrachial and crural nonunion fractures. A sterile snaphook system was secured to the paw allowing the surgeon to disconnect the limb during the procedure.
Nonunion sites were managed in either a closed or an open fashion depending on the perceived viability of the ends of the fracture fragments, the presence of im-plants or sequestra, and the perceived need for bone grafting. Closed procedures were performed at the surgeon’s discretion in selected cases of vascular nonunion fractures previously stabilized with a linear fixator, when the underlying problem was ascribed to instability at the nonunion fracture site. In these cases, a fine needle aspirate of the nonunion site was obtained for aerobic and anaerobic culture (9).
In open procedures, the nonunion site was exposed through a standard approach and all implants were removed. Debridement of [...]
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