Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Retrospective Study on Surgical Repair of 31 Canine Pelvic Fracture Cases

골반 골절의 수술적 교정을 실시한 31두 개에서의 후향연구

  • Lee, Seung-Hoon (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Park, Sung-Su (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kang, Byung-Jae (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Yong-Sun (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Wan-Hee (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kweon, Oh-Kyeong (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University)
  • 이승훈 (서울대학교 수의과대학 수의외과학교실) ;
  • 박성수 (서울대학교 수의과대학 수의외과학교실) ;
  • 강병재 (서울대학교 수의과대학 수의외과학교실) ;
  • 김용선 (서울대학교 수의과대학 수의외과학교실) ;
  • 김완희 (서울대학교 수의과대학 수의외과학교실) ;
  • 권오경 (서울대학교 수의과대학 수의외과학교실)
  • Accepted : 2012.02.09
  • Published : 2012.02.29
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Abstract

The results of surgical repair for pelvic factures in 31 dogs were reviewed. Lameness and weight bearing scores were used to evaluate functional recovery of the hind limbs. Simple fracture occurred in sacroiliac joint (n = 5) and ilium (n = 3). Pelvic fractures had acetabular (n = 7) and non-acetabular fractures (n = 23). Acetabular fracture cases were composed of additional surgical treatments with femoral head and neck ostectomy (FHNO) (n = 4) and only acetabular rim fixation (n = 3). Simple fractures had more rapid initial and complete recovery times than multiple fractures. Non-acetabular fracture cases (initial recovery time: 2.7 weeks, complete recovery time: 9.1 weeks) had more rapid initial and complete recovery times than acetabular fracture cases (8.4, 12.5 weeks) (p < 0.05). In addition, the cases of additional surgical treatment with FHNO (5.3, 7 weeks) had more rapid mean recovery times than surgical treatment without FHNO (11.1, 16.3 weeks). Surgical approach with FHNO in acetabular fracture was an alternative method to treat pelvic fractures in small breed dogs.

본 조사는 골반골절을 수술적으로 교정한 31두 개에서의 결과를 분석한 것이다. 파행과 부중의 정도가 후지의 기능개선 평가에 이용되었다. 단순골절은 천장관절과 장골에서 발생하였으며, 골반골절은 관골절구의 골절을 포함하는 것과 포함하지 않는 경우가 있었다. 관골절구의 골절은 추가적인 대퇴골 머리 및 목 절제술 또는 관골절구 둘레 고정 만을 실시하였다. 단순골절은 복합골절에 비해 초기 회복시간과 완전한 회복시간 모두 짧았다. 관골절구를 포함하지 않는 골절에서는 포함한 골절에 비해 회복시간이 유의적으로 짧았다(p < 0.05). 또한 대퇴골 머리 및 목 절제술을 추가로 실시한 경우에서 실시하지 않은 것 보다 짧은 회복시간을 보였다. 소형견에서 관골절구의 골절 발생 시 대퇴골 머리 및 목 절제술을 이용한 수술적 교정은 대체 가능한 방법으로 생각된다.

Keywords

References

  1. Anson LW, DeYoung DJ, Richardson DC, Betts CW. Clinical evaluation of canine acetabular fractures stabilized with an acetabular plate. Vet Surg 1988; 17: 220-225. https://doi.org/10.1111/j.1532-950X.1988.tb01001.x
  2. Boswell KA, Boone EG Jr, Boudrieau RJ. Reduction and temporary stabilization of acetabular fractures using ASIF mandibular reduction forceps: technique and results using plate fixation in 25 dogs. Vet Surg 2001; 30: 1-10. https://doi.org/10.1053/jvet.2001.20328
  3. Butterworth SJ, Gribben S, Skerry TM, Denny HR, Barr ARS, Gregory SP. Conservative and surgical treatment of canine acetabular fractures: A review of 34 cases. J Small Anim Pract 1994; 35: 139-143. https://doi.org/10.1111/j.1748-5827.1994.tb03917.x
  4. de Ridder VA, de Lange S, Kingma L, Hogervorst M. Results of 75 consecutive patients with an acetabular fracture. Clin Orthop Relat Res 1994; 305: 53-57.
  5. DeCamp CE. Principles of pelvic fracture management. Semin Vet Med Surg 1992; 7: 63-70.
  6. Denny HR. Pelvic fracture in the dogs: a review of 123 cases. J Small Anim Pract 1978; 19: 151-166. https://doi.org/10.1111/j.1748-5827.1978.tb05470.x
  7. Draffan D, Clements D, Farrel M, Heller J, Bennett D, Carmichael S. The role of computed tomography in the classification and management of pelvic fractures. Vet Comp Orthop Traumatol 2009; 22: 190-197.
  8. Fitzpatrick N, Lewis D, Cross A. A biomechanical comparison of external skeletal fixation and plating for the stabilization of ilial osteotomies in dogs. Vet Comp Orthop Traumatol 2008; 21: 349-357.
  9. Gibbons SE, Macias C, Tonzing MA, Pinchbeck GL, McKee WM. Patellar luxation in 70 large breed dogs. J Small Anim Pract 2006; 47: 3-9. https://doi.org/10.1111/j.1748-5827.2006.00004.x
  10. Harasen G. Pelvic fractures. Can Vet J 2007; 48: 427-428.
  11. Kim K, Lee J, Yoon H, Jeong S. Clinical Analysis of Pelvic Fracture in 54 Dogs. J Vet Clin 2011; 28: 467-472.
  12. Lanz OI, Lewis DD, Madison JB, Miller GJ, Martin DE. A biomechanical comparison of screw and wire fixation with and without polymethacrylate re-enforcement for acetabular osteotomy stabilization in dogs. Vet Surg 1999; 28: 161-170. https://doi.org/10.1053/jvet.1999.0161
  13. Lewis DD, Stubbs WP, Neuwirth L, Bertrand SG, Parker RB, Stallings JT, Murphy ST. Results of screw/wire/polymethylmethacrylate composite fixation for acetabular fracture repair in 14 dogs. Vet Surg 1997; 26: 223-234. https://doi.org/10.1111/j.1532-950X.1997.tb01489.x
  14. Matta JM, Merritt PO. Displaced acetabular fractures. Clin Orthop Relat Res 1988; 230: 83-97.
  15. McCarthy G, O'Donovan J, Jones B, McAllister H, Seed M, Mooney C. Randomised double-blind, positive-controlled trial to assess the efficacy of glucosamine/chondroitin sulfate for the treatment of dogs with osteoarthritis. Vet J 2007; 174: 54-61. https://doi.org/10.1016/j.tvjl.2006.02.015
  16. McCartney WT, Garvan CB. Repair of acetabular fractures in 20 dogs using a dorsal muscle separation approach. Vet Rec 2007; 160: 842-844. https://doi.org/10.1136/vr.160.24.842
  17. Ost PC, Kaderly RE. Use of reconstruction plates for the repair of segmental ilial fratures involving acetabular comminution in four dogs. Vet Surg 1986; 15: 259-264. https://doi.org/10.1111/j.1532-950X.1986.tb00220.x
  18. Tomlinson JL. Fractures of the pelvis. In: Textbook of small aninal surgery, 3rd ed. Philadelphia: WB Saunders Co. 2003: 1989-2001.
  19. Torres BT, Chambers JN, Budsberg SC. Successful cementless cup reimplantation using cortical bone graft augmentation after an acetabular fracture and cup displacement. Vet Surg 2009; 38: 87-91. https://doi.org/10.1111/j.1532-950X.2008.00477.x