Open reduction and internal fixation of 75 small animal fractures treated with the OrthoLineTM fracture system.

IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES
Erica R Rehnblom, Sean M Murphy, W Wade Won, Jonathan T Suber, Joshua J Arnold
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引用次数: 0

Abstract

Objective: To describe specific methods of plate application and to report outcomes for patients treated with the OrthoLineTM system.

Study design: Retrospective case series.

Animals: A total of 65 dogs, and six cats.

Methods: Medical records of dogs and cats treated with the OrthoLineTM system were reviewed. Cases with <12 weeks follow-up, significant comorbidities, a revision procedure, or those receiving the study implant in combination with another system were excluded. Construct application characteristics (plate span [%], plate span ratio, screw hole density, and plate working length [cm]) were calculated and compared between fracture locations. Patient outcomes included fracture healing, owner assessed outcome (telephone interview) and reported complications from owner interviews and medical records.

Results: A total of 75 fractures in 71 cases were treated with 77 plates. Clinical union was noted in 57/61 fractures (93.4%) at a range of 1.7-19.7 weeks. Owner assessed outcome (n = 51) was graded as full or acceptable for all cases. Major complications included implant failure (n = 1), implant infection (n = 2), and intraoperative malreduction with revision (n = 1). Plate span of radial (46.6%) and ulnar (33.0%) constructs were both lower compared to femoral (73.3%) (p < .001) constructs, and ulnar constructs were also lower compared to tibial (61.7%) constructs (p = .004).

Conclusion: The OrthoLineTM system produced acceptable radiographic healing, complication rates, and owner assessed outcomes. Shorter plate spans in the radius and ulna were well tolerated.

Clinical significance: The OrthoLineTM system is a promising alternative for fracture repair in dogs and cats.

OrthoLineTM骨折系统治疗小动物骨折75例切开复位内固定。
目的:描述钢板应用的具体方法,并报告使用OrthoLineTM系统治疗的患者的结果。研究设计:回顾性病例系列。动物:共65只狗和6只猫。方法:回顾使用OrthoLineTM系统治疗犬、猫的病历。结果:71例75例骨折共使用77块钢板治疗。61例骨折中57例(93.4%)在1.7 ~ 19.7周内临床愈合。所有病例的所有者评估结果(n = 51)均被评为完整或可接受。主要并发症包括种植体失败(n = 1)、种植体感染(n = 2)和术中复位不良伴翻修(n = 1)。与股骨(73.3%)相比,桡骨(46.6%)和尺骨(33.0%)构造的钢板跨度均较低(p)。结论:OrthoLineTM系统产生了可接受的放射学愈合、并发症发生率和业主评估的结果。桡骨和尺骨的钢板跨度较短,耐受良好。临床意义:OrthoLineTM系统是狗和猫骨折修复的一个很有前途的选择。
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来源期刊
Veterinary Surgery
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.
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