Repair of a Radial Fracture with Radial Head Luxation in a Bugio Monkey (Alouatta caraya)

Abstract

Abstract Bugio monkeys (Alouatta caraya) need their arms for locomotion, hygiene, and defence, and possess well-developed dexterity of their hands, depending on them for proper feeding. For this reason, appropriate treatment of thoracic limb fractures is not only essential but also challenging in this species. This report describes the successful treatment of a radial fracture associated with luxation of the radial head in a female, adult Alouatta caraya. The patient was admitted after a suspected traumatic event with a complete transverse fracture of the right radial diaphysis and subluxation of the ipsilateral radius head. Using a craniomedial approach to the radius, surgical stabilization was performed using a 1.7 mm micro series Fixin locking plate after open reduction in bone fragments. The patient had early use of the limb (24 hours postoperatively) and progressive improvement in its usual activities over the following weeks. Radiographic monitoring was performed at 30, 60, and 360 days postoperatively, and bone healing occurred with no complications. The treatment of fractures in primates is potentially challenging, requiring adaptation to primate anatomy and the specific living conditions of the species. Open reduction and stabilization of the radial fracture with a plate and manually reducing the luxated radial head effectively lead to long-term restoration of full function and of normal activities.