A Case of Osteotomy of the Distal Radius and Ulna with Panarthrodesis of Carpus for Reform of

성장판 조기페쇄에 따른 요척골 외전과 완관절 아탈구 교정들 위한 요척골 절단술 및 광범위 완관절 고술의 일례

  • Published : 2000.12.01

Abstract

A 23.5 kg179, 8 months olds non-spaycd female Rottweiler dog was submitted to the veterinary teaching animal hospitals Chonbuk: national university, for chronic bitten trauma on right foreleg with pain, lameness, and pronation. The patient fought with a neighboring dog about five months ago and had mild anorexia, depression, bolt normal walking at that time. CBC and blood chemical examination were in normal range. Physical examination resulted in the right foreleg with edema and interval rotation of carpal joint. Radiograph of the right carpus showed varus and subluxation. We finally diagnosed the patient as the growth deformity of distal radius and ulna caused by medial premature closure of distal radial physis. Osteotomy was performed fur reforming of the varus of the distal radius and ulna with 6-hole straight plate and six 3.5 mm screws. Panarthrodcsis of carpus was preformed for correcting subluxation using 6-hole T-shaped plate and four 3.5 mm screws with cortical onlay autograft and strengthened by two 3.5 mm screws and tension wire band in lateral aspect of the carpus. Follow-up radiographs after 16 weeds of the surgery showed complete coaptation of osteotomy sire of the radius and uIna. After 6 months of the procedurc, talc plate, screws and the wire were removed except 7-shaped plate and four screws fur arthrodesis. The patient was seen in normal forelimb and could walk and run without lameness after 7 months of the procedure.

Keywords

References

  1. J Am Anim Hosp Assoc v.11 Effects of asyn chronous growth of the radius and ulna on the canine elbow joint following experimental retardation of longitudinal growth of the ulna Carrig CB;Morgan JP;Pool RR
  2. J Am Anim Hosp Assoc v.18 Palmar surface plating for arthrodesis of the canine carpus Chambers JN;Bjorling DF
  3. J Am Anim Hosp Assoc v.27 Clinical findings and complications after talocrural arthrodesis in dogs: Experience with six cases Deverspike M;Vasseur PB
  4. Radial and ulnar growth deformities.In:Small animal surgery Fossum TW;Hedlund CS;Hulse DA(et al)
  5. J Am Anim Hosp Assoc v.27 Tarsocrural arthrodesis:Long-term functional results Gorse MJ;Earley TD;Aron DN
  6. J Am Anim Hosp Assoc v.31 Resolution of lameness associated with Scottish fold ostcodystrophy following bilateral ostectomies and pantarsal arthrodeses:A case report Mathews KG;Koblik PD;Knoeckel MJ(et al)
  7. J Am Vet Assoc v.167 Surgical management of radial physeal growth disturbance in dogs Newton CD;Nunamaker DM;Dickenson CR
  8. Vet Clin North Am v.1 Developmental deformities due to arrested epiphyscal growth O'Brien TR
  9. J Small Anim Pract v.12 A radiographic study of growth disturbances in the forelimb O'Brien TR;Morgan JP;Suter PF
  10. Growth deformities of the forelimb In:Small animal orthopedics Olmstead ML
  11. J Vet Surg v.10 Asynchronous growth of the canine radius and ulna surgical correction following experimental premature closure of the distal radial physis Olson NC;Brinker WO;Carrig CB(et al)
  12. Am J Vet Res v.40 Asynchronous growth of the canine radius and ulna:effects of retardation of longitudinal growth of the radius Olson NC;Carry CB;Bronker WO
  13. Vet Surg v.10 Pancarpal arthrodesis in the dog:A review of forty-five cases Parker RB;Browen SG;Wind AP
  14. Proximal or distal radial physis closure.In:Small animal orthopedics and fracture repair Piermattci DL;Flo GL
  15. J Am Vet Radiol Soc v.6 Normal and abnormal growth of the distal foreleg in large and giant dogs Riser WH;Shirer JF
  16. Vet Clin North Am v.1 Corrective osteotomy of angular deformities Rudy RL
  17. J Am Anim Hosp Assoc v.26 Partial ulnar osteotomy for treatment of premature closure of the proximal and distal radial physis in the dog Shields LH;Gambardella PC
  18. J Am Anim Hosp Assoc v.9 Deformities due to premature closure of the distal ulna in fourteen dogs: a radiographic evaluation Skaggs S;DeAngelis MP;Rosen H
  19. Vet Surg v.12 Premature closure of the distal radial physis:a review of 14 dogs VanDeWater AL;Olmstead ML
  20. Vet Rec v.98 Growth plate defects in dogs Vaughan LC