Leczenie braku zrostu septycznych złamań kości przedramienia i kości podudzia u psów przy użyciu okólnego zewnętrznego mocowania szkieletowego – badanie retrospektywne. Cz. II

Conclusions

Our study has several limitations, mostly related to its retrospective nature. The time between surgery and initial weight-bearing was not specifically noted in any of the medical records. Therefore we could not determine whether functional recovery differed between dogs treated by monofocal and bifocal procedures in this case series. In our opinion, careful clinical and radiographic reevaluations are required because persistent lack of weightbearing accompanied by a lack of bone regenerate signals a poor prognosis. Although direct comparisons of our results with those of other studies are not possible, it is interesting that mean time to union of these septic nonunions was 74 ± 45 days with a range of 30 to 240 days, while union of nonseptic antebrachial and crural fractures with CESF ranged from 28 to 105 days (mean ± SD of 61 ± 21 days) and from 21 to 157 days (mean ± SD of 61 ± 30 days) (21, 42). We can not compare the use of circular fix-ator with other methods of managing septic nonunion fractures in dogs because of a lack of corresponding reports.

The results of the study support the use of CESF for the management of antebrachial and crural septic nonunion fractures in dogs. Union was achieved in the majority of cases and the complication rate was acceptable considering the severity of the nonunion fractures that were managed in this fashion.

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