Leczenie braku zrostu septycznych złamań kości przedramienia i kości podudzia u psów

Radiographic and clinical evaluation

Postoperative orthogonal radiographs were obtained. Dogs were treated with cephalexin (ICFVet: I.C.F. Industria Chimica Fine S.r.l, Palazzo Pignano (CR), Italy) (20 mg/kg BID PO) until culture results became available, after which time the dogs were treated with antibiotic medications according to the culture and sensitivity.

Postoperative pain control was achieved with non-steroidal antiinflammatory drugs that were administered for seven days. Postoperative patient management included wire and pin tract care, and restricted exercise under the direct supervision of the owner.

Dogs were divided into three treatment groups based on how the CESF was applied and utilized to manage the nonunion fractures. Group A included dogs managed with a monofocal procedure without employing the accordion manoeuvre (Figure 1). Group B included dogs managed with a monofocal procedure, and the accordion manoeuvre was employed postop-eratively when callus formation was judged to be poor (26). In this procedure, acute distraction was applied and maintained for seven days followed by acute compression for another seven days. Alternating distrac-tion and compression of 0.5 to 2 mm, depending on the size of the patient, was carried out on a weekly basis until callus formation was visible on radiographs. Group C included dogs managed with a bifocal approach. In dogs treated with bifocal procedures, bone distraction was initiated at 1 mm per day in 0.33 mm increments every eight hours after [...]

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