Short-term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs.

IF 1.3 2区农林科学 Q2 VETERINARY SCIENCES

Veterinary Surgery Pub Date : 2025-05-01 Epub Date: 2025-02-06 DOI:10.1111/vsu.14221

Jake W Chitty, Callum A T Sharp, Daniel Low, Thomas Chapman, David Singleton, Andrew Murdoch, Paul Aldridge

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引用次数: 0

Abstract

Objective: To determine the influence of fixation method (internal vs. external) on short-term postoperative complications of closed diaphyseal tibial fractures in skeletally immature dogs.

Study design: Retrospective observational multicenter study.

Animal population: Skeletally immature dogs stabilized with internal fixation (IF) via plate osteosynthesis (n = 59) and external skeletal fixation (ESF) (n = 36).

Methods: Medical records from skeletally immature dogs with closed tibial diaphyseal fractures were reviewed. Data collected included signalment, fracture morphology, etiology, fixation technique, surgeon status, complications, time to discharge and time to final discharge.

Results: The total complication rate for IF was lower at 20.3% (p < .001, CI: 11.0-32.8) compared to ESF at 55.6% (CI: 38.1-72.1). A total of 95% of complications were considered major for external fixation versus 75% for internal fixation. Multivariable analysis revealed decreased odds of a postoperative short-term complication when a closed tibial diaphyseal fracture was stabilized with IF compared to ESF (p = .004, OR: 0.2, CI: 0.09-0.63). The median time to final discharge for ESF was 4 weeks (range: 2-13) and for IF was 6 weeks (range: 4-32) (p = .01).

Conclusion: ESF had a higher rate of short-term complications than IF, primarily due to pin-tract morbidity. The complication rate was 35.3% higher for ESF than for IF.

Clinical significance: Surgeons should consider the use of IF over ESF for skeletally immature dogs to reduce the risk of major complications.

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95例未成熟犬闭合性胫骨骨干骨折内、外固定的短期并发症。

目的：探讨内固定与外固定对未成熟犬胫骨骨干闭合性骨折术后短期并发症的影响。研究设计：回顾性观察性多中心研究。动物种群：骨骼未成熟的狗通过钢板骨固定（n = 59）和外部骨骼固定（n = 36）进行内固定（IF）稳定。方法：回顾性分析未成熟犬胫骨骨干闭合性骨折的临床资料。收集的数据包括信号、骨折形态、病因、固定技术、手术状态、并发症、出院时间和最终出院时间。结果：IF组的总并发症发生率较IF组低，为20.3% (p)。结论：ESF组的短期并发症发生率高于IF组，主要是由于针道并发症。ESF的并发症发生率比IF高35.3%。临床意义：外科医生应该考虑使用IF而不是ESF来治疗骨骼未成熟的狗，以减少主要并发症的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary Surgery 农林科学-兽医学

CiteScore

3.40

自引率

22.20%

发文量

162

审稿时长

8-16 weeks

期刊介绍： Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.