Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case report

Detalhes bibliográficos
Autor(a) principal: Garnoeva, Radka
Data de Publicação: 2022
Outros Autores: Roydev, Rumen, Halil, Mehmed
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Veterinary Medicine
Texto Completo: https://rbmv.org/BJVM/article/view/1260
Resumo: A clinical case of non-union in a cat after open fracture repair by intramedullary ostheosynthesis of the radius was described. The patient was presented with non-weight bearing lameness, fistulas with purulent discharge, swelling and severe pain. During the surgical revision, after bone sequestrum removal, the bone defect was filled with cancellous and cortical bone autografts. Osteosynthesis with a modified external bone fixator, made of Duracryl® Plus – a rapidly self-curing metacrylate polymer – and 6 Kirschner wires passing perpendicularly through both radial cortices was performed. The post-operative period was smooth, and after 23 weeks the external fixator was removed. Radiography showed very good bone healing, with excellent clinical result. The use of the ulna as a donor bone was very convenient because it allowed collecting a cortical graft of larger size. The extremely light model of external bone fixator provided adequate strength of fixation elements and proved to be an efficient and not expensive technique for osteosynthesis in cat with non-union fractures of the distal radius and ulna.
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spelling Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case reportSucesso no tratamento da não-união de radio distal após fratura exposta e osteomielite tratada por fixação externa e enxerto ósseo em um gato: relato de casocat, open radius and ulna fractures, external bone fixator, cancellous and cortical bone autograft.gato, pseudoartrose, fixação externa, autoenxertos ósseos.A clinical case of non-union in a cat after open fracture repair by intramedullary ostheosynthesis of the radius was described. The patient was presented with non-weight bearing lameness, fistulas with purulent discharge, swelling and severe pain. During the surgical revision, after bone sequestrum removal, the bone defect was filled with cancellous and cortical bone autografts. Osteosynthesis with a modified external bone fixator, made of Duracryl® Plus – a rapidly self-curing metacrylate polymer – and 6 Kirschner wires passing perpendicularly through both radial cortices was performed. The post-operative period was smooth, and after 23 weeks the external fixator was removed. Radiography showed very good bone healing, with excellent clinical result. The use of the ulna as a donor bone was very convenient because it allowed collecting a cortical graft of larger size. The extremely light model of external bone fixator provided adequate strength of fixation elements and proved to be an efficient and not expensive technique for osteosynthesis in cat with non-union fractures of the distal radius and ulna.Um caso clínico de correção de uma não união de uma fratura exposta em um gato após por osteossíntese intramedular do rádio foi descrito. O paciente apresentou claudicação, fístulas com secreção purulenta, edema e dor intensa. Durante a revisão cirúrgica, após a remoção do sequestro ósseo, o defeito ósseo foi preenchido com autoenxertos de osso esponjoso e cortical. Foi realizada osteossíntese com fixador ósseo externo modificado, confeccionado em Duracryl® Plus – polímero metacrilato de rápida autopolimerização – e 6 fios de Kirschner passando perpendicularmente por ambas as corticais radiais. O pós-operatório foi tranquilo e após 23 semanas o fixador externo foi removido. A radiografia mostrou boa consolidação óssea, com excelente resultado clínico. A utilização da ulna como osso doador foi muito conveniente, pois permitiu a coleta de um enxerto cortical de maior tamanho. O modelo extremamente leve de fixador ósseo externo proporcionou resistência adequada dos elementos de fixação e mostrou-se uma técnica eficiente e de baixo custo para osteossíntese em gatos com fraturas não consolidadas do rádio distal e ulnaSociedade de Medicina Veterinária do Estado do Rio de Janeiro.2022-09-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/xmlhttps://rbmv.org/BJVM/article/view/126010.29374/2527-2179.bjvm003322Brazilian Journal of Veterinary Medicine; Vol. 44 (2022); e003322Revista Brasileira de Medicina Veterinária; v. 44 (2022); e0033222527-21790100-2430reponame:Brazilian Journal of Veterinary Medicineinstname:Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)instacron:SBMVenghttps://rbmv.org/BJVM/article/view/1260/1264https://rbmv.org/BJVM/article/view/1260/1274Copyright (c) 2022 Radka Garnoeva, Rumen Roydev, Mehmed Halilhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGarnoeva, RadkaRoydev, RumenHalil, Mehmed2022-10-10T13:57:54Zoai:ojs.rbmv.org:article/1260Revistahttps://rbmv.org/BJVMONGhttps://rbmv.org/BJVM/oaicontato.rbmv@gmail.com2527-21790100-2430opendoar:2022-10-10T13:57:54Brazilian Journal of Veterinary Medicine - Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)false
dc.title.none.fl_str_mv Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case report
Sucesso no tratamento da não-união de radio distal após fratura exposta e osteomielite tratada por fixação externa e enxerto ósseo em um gato: relato de caso
title Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case report
spellingShingle Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case report
Garnoeva, Radka
cat, open radius and ulna fractures, external bone fixator, cancellous and cortical bone autograft.
gato, pseudoartrose, fixação externa, autoenxertos ósseos.
title_short Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case report
title_full Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case report
title_fullStr Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case report
title_full_unstemmed Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case report
title_sort Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case report
author Garnoeva, Radka
author_facet Garnoeva, Radka
Roydev, Rumen
Halil, Mehmed
author_role author
author2 Roydev, Rumen
Halil, Mehmed
author2_role author
author
dc.contributor.author.fl_str_mv Garnoeva, Radka
Roydev, Rumen
Halil, Mehmed
dc.subject.por.fl_str_mv cat, open radius and ulna fractures, external bone fixator, cancellous and cortical bone autograft.
gato, pseudoartrose, fixação externa, autoenxertos ósseos.
topic cat, open radius and ulna fractures, external bone fixator, cancellous and cortical bone autograft.
gato, pseudoartrose, fixação externa, autoenxertos ósseos.
description A clinical case of non-union in a cat after open fracture repair by intramedullary ostheosynthesis of the radius was described. The patient was presented with non-weight bearing lameness, fistulas with purulent discharge, swelling and severe pain. During the surgical revision, after bone sequestrum removal, the bone defect was filled with cancellous and cortical bone autografts. Osteosynthesis with a modified external bone fixator, made of Duracryl® Plus – a rapidly self-curing metacrylate polymer – and 6 Kirschner wires passing perpendicularly through both radial cortices was performed. The post-operative period was smooth, and after 23 weeks the external fixator was removed. Radiography showed very good bone healing, with excellent clinical result. The use of the ulna as a donor bone was very convenient because it allowed collecting a cortical graft of larger size. The extremely light model of external bone fixator provided adequate strength of fixation elements and proved to be an efficient and not expensive technique for osteosynthesis in cat with non-union fractures of the distal radius and ulna.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbmv.org/BJVM/article/view/1260
10.29374/2527-2179.bjvm003322
url https://rbmv.org/BJVM/article/view/1260
identifier_str_mv 10.29374/2527-2179.bjvm003322
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rbmv.org/BJVM/article/view/1260/1264
https://rbmv.org/BJVM/article/view/1260/1274
dc.rights.driver.fl_str_mv Copyright (c) 2022 Radka Garnoeva, Rumen Roydev, Mehmed Halil
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Radka Garnoeva, Rumen Roydev, Mehmed Halil
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
text/xml
dc.publisher.none.fl_str_mv Sociedade de Medicina Veterinária do Estado do Rio de Janeiro.
publisher.none.fl_str_mv Sociedade de Medicina Veterinária do Estado do Rio de Janeiro.
dc.source.none.fl_str_mv Brazilian Journal of Veterinary Medicine; Vol. 44 (2022); e003322
Revista Brasileira de Medicina Veterinária; v. 44 (2022); e003322
2527-2179
0100-2430
reponame:Brazilian Journal of Veterinary Medicine
instname:Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)
instacron:SBMV
instname_str Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)
instacron_str SBMV
institution SBMV
reponame_str Brazilian Journal of Veterinary Medicine
collection Brazilian Journal of Veterinary Medicine
repository.name.fl_str_mv Brazilian Journal of Veterinary Medicine - Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)
repository.mail.fl_str_mv contato.rbmv@gmail.com
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