Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Use of Cross Pins and Temporal External Skeletal Fixator for Stabilization of a Tibial Physeal Fracture in a Korean Native Calf

한우 송아지의 정강뼈 성장판 골절에서의 교차핀과 임시 외부 골격 고정장치의 이용

  • Heo, Su-Young (College of Veterinary Medicine, Chonbuk National University) ;
  • Kim, Eun-Ju (College of Veterinary Medicine, Chonbuk National University) ;
  • Kim, Min-Su (College of Veterinary Medicine, Chonbuk National University) ;
  • Lee, Ki-Chang (College of Veterinary Medicine, Chonbuk National University) ;
  • Kim, Nam-Soo (College of Veterinary Medicine, Chonbuk National University) ;
  • Lee, Hae-Beom (College of Veterinary Medicine, Chonbuk National University)
  • Accepted : 2012.04.02
  • Published : 2012.04.30
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Abstract

A one-month-old, male Hanwoo calf was presented to Chonbuk Animal Medical Center with non-weight bearing lameness on its right hindlimb. The radiograph and CT scan showed a Salter-Harris III fracture at the distal tibia. Following open reduction, the fracture was stabilized by cross-pins. A temporal external skeletal fixator was used as an additional support for 5 weeks. 5 weeks after surgery, bone fracture had successfully healed with no complication. At 2 years after surgery, the calf could walk almost normally although intermittent weight-bearing lameness after active exercise. This is a rare case that the combined use of temporal external fixation and cross-pins fixation was sufficiently effective for treating a distal tibial physeal fracture in a calf.

한달 된 한우 수송아지가 오른쪽 뒷다리 체중부하를 못하는 문제를 가지고 전북동물의료센터에 내원하였다. 방사선검사와 CT 검사 상에서 Salter-Harris III형의 먼쪽 정강뼈 성장판 골절로 진단하였다. 개방골절정복 후 교차핀을 이용하여 고정한 후 임시 외부 골격 고정장치를 이용하여 5주 동안 추가적인 지지를 실시하였다. 수술 5주 후 방사선사진 검사에서 골절된 뼈의 유합이 관찰 되었다. 수술2년 후 과도한 움직임 뒤에 미약한 체중부하 파행이 관찰 되었지만, 거의 정상 수준으로 보행이 가능하였다. 송아지에서 이와 같은 증례는 매우 드물고 교차핀과 추가적인 임시 외부 골격 고정장치를 이용한 골절 정복법은 먼쪽 정강뼈 골절 치료에 유용하게 사용될 거라고 생각 된다.

Keywords

References

  1. Aithal HP, Kinjavdekar P, Pawde AM, Singh GR, Hoque M, Maiti SK, Setia HC. Management of fractures near the carpal joint of two calves by transarticular fixation with a circular external fixator. Vet Rec 2007; 161: 193-198. https://doi.org/10.1136/vr.161.6.193
  2. Aithal H, Singh G. A survey of bone fractures in cattle, sheep and goats. Indian Vet J 1999; 76: 636-639.
  3. Aksoy O, OzaydIn , KIlIç E, Oztürk S, Gungor E, Kurt B, Oral H. Evaluation of fractures in calves due to forced extraction during dystocia: 27 cases (2003-2008). Kafkas Univ Vet Fak Derg 2009; 15: 339-344.
  4. Anderson DE, Jean G. Management of fractures in field settings. Vet Clin North Am Food Anim Pract 2008; 24: 567-582. https://doi.org/10.1016/j.cvfa.2008.07.006
  5. Beam RC, Kunz DA, Cook CR, Carson RL, Briscoe P, Cook JL. Use of three-dimensional computed tomography for diagnosis and treatment planning for open-mouth jaw locking in a cat. J Am Vet Med Assoc 2007; 230: 59-63. https://doi.org/10.2460/javma.230.1.59
  6. Bentley VA, Edwards III RB, Santschi EM, Livesey MA. Repair of femoral capital physeal fractures with 7.0-mm cannulated screws in cattle: 20 cases (1988-2002). J Am Vet Med Assoc 2005; 227: 964-969. https://doi.org/10.2460/javma.2005.227.964
  7. Brinker WO, Piermattei DL, Flo GL, DeCamp CE, Giddings FD. Fracture: Classification, diagnosis, and Treatment. In: Brinker, piermattei, and flo's handbook of small animal orthopedics and fracture repair, 4th ed. St. Louis: Saunders. 2006: 25-159.
  8. Crawford WH, Fretz PB. Long bone fractures in large animals a retrospective study. Vet Surg 1985; 14: 295-302. https://doi.org/10.1111/j.1532-950X.1985.tb00889.x
  9. De Godoy RF, Filgueiras RR, Gontijo LA, Ximenes FHB, De GouvEA LV, Da Silva Pereira C, Almeida RM, Leite CR, Neto ART, Borges JRJ. Treatment of a periarticular tibial fracture in a foal with a hybrid external fixator. Vet Surg 2009; 38: 650-653. https://doi.org/10.1111/j.1532-950X.2009.00549.x
  10. Dismukes DI, Fox DB, Tomlinson JL, Essman SC. Use of radiographic measures and three-dimensional computed tomographic imaging in surgical correction of an antebrachial deformity in a dog. J Am Vet Med Assoc 2008; 232: 68-73. https://doi.org/10.2460/javma.232.1.68
  11. Embertson RM, Bramlage LR, Gabel AA. Physeal fractures in the horse ii. Management and outcome. Vet Surg 1986; 15: 230-236. https://doi.org/10.1111/j.1532-950X.1986.tb00213.x
  12. Fessler JF, Adams SB. Decision making in ruminant orthopedics. Vet Clin North Am Food Anim Pract 1996; 12: 1-18.
  13. Fossum TW. Fundamentals of orthopedic surgery and fracture management. In: Small animal surgery, 3th ed. St. Louis: Mosby Elsevier. 2007: 930-1014.
  14. Fubini SL, Ducharme NG. Surgery of the bovine musculoskeletal system. In: Farm animal surgery, St. Louis: Saunders. 2004: 283-350.
  15. Hamilton GF, Tulleners EP. Transfixation pinning of proximal tibial fractures in calves. J Am Vet Med Assoc 1980; 176: 725-727.
  16. Ivany Ewoldt JM, Hull BL, Ayars WH. Repair of femoral capital physeal fractures in 12 cattle. Vet Surg 2003; 32: 30-36. https://doi.org/10.1053/jvet.2003.50002
  17. Doornberg J, Lindenhovius A, Kloen P, van Dijk CN, Zurakowski D, Ring D. Two and three-dimensional computed tomography for the classification and management of distal humeral fractures. Evaluation of reliability and diagnostic accuracy. J Bone Joint Surg Am 2006; 88: 1795-1801. https://doi.org/10.2106/JBJS.E.00944
  18. White MS. Three-dimensional computed tomography in the assessment of fractures of the acetabulum. Injury 1991; 22: 13-19. https://doi.org/10.1016/0020-1383(91)90153-6
  19. Marino DJ, Loughin CA. Diagnostic imaging of the canine stifle: A review. Vet Surg 2010; 39: 284-295. https://doi.org/10.1111/j.1532-950X.2010.00678.x
  20. Martens A, Steenhaut M, De Cupere C, Gasthuys F, De Moor A, Verschooten F. Conservative and surgical treatment of tibial fractures in cattle. Vet Rec 1998; 143: 12-16. https://doi.org/10.1136/vr.143.1.12
  21. Steffen F, Flueckiger M, Montavon PM. Traumatic atlantooccipital luxation in a dog: Associated hypoglossal nerve deficits and use of 3-dimensional computed tomography. Vet Surg 2003; 32: 411-415. https://doi.org/10.1053/jvet.2003.50056