Leczenie złamań kości promieniowej i kości łokciowej u psów rasowych przy użyciu okólnego zewnętrznego mocowania szkieletowego – badanie retrospektywne

Although postoperative radiographic assessment was performed with standard views, the small dimension of the bone segment and the superimposition of threaded connecting rods made the fracture healing evaluation sometimes difficult. We obtained oblique projection radiographic views to better evaluate reduction and alignment. These oblique projection views were also useful to evaluate the progression of bone healing. However the oblique projection views must be consistent during subsequent radiographic evaluations to judge and compare callus formation.

The complication of a proximal radial fracture in one case was possibly due to the long treatment duration and bone resorption around the wire. To avoid this complication, it may have been better to locate this wire in the head of the radius and not in the narrow portion of diphysis below the radial head. Wire and pin tract discharge should be expected with CESF (38). Wire breakage is a reported complication with CESF in medium to large breed dogs (1, 37). This complication however did not occur in any of the dogs in this study, most likely attributable to the light body weights. A loss of carpal extension, which is a complication reported when these fractures are treated by bone plating, was not observed (25). No major complications occurred in our series; this outcome compares favourably to previous reports (5, 8, 10, 24).

Although none of our patients had a refracture after implant removal, three patients experienced a fracture on [...]

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