Journal of Veterinary Science

The Korean Society of Veterinary Science (대한수의학회)
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Single oblique osteotomy for correction of congenital radial head luxation with concurrent complex angular limb deformity in a dog: a case report

  • Kim, Junhyung (Department of Veterinary Surgery, College of Veterinary Medicine and Institute of Veterinary Science, Kangwon National University) ;
  • Song, Jaeyong (Department of Veterinary Surgery, College of Veterinary Medicine and Institute of Veterinary Science, Kangwon National University) ;
  • Kim, Sun-Young (Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University) ;
  • Kang, Byung-Jae (Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Research Institute for Veterinary Science, and BK21 PLUS Program for Creative Veterinary Science Research, Seoul National University)
  • Received : 2020.03.08
  • Accepted : 2020.06.18
  • Published : 2020.07.31
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Abstract

A 5-month old Shih Tzu was diagnosed with congenital elbow luxation and uniapical complex angular deformity of the radius. Single radial oblique and dynamic ulnar osteotomies were performed, using patient-specific 3D-printed osteotomy guide. External skeletal fixation was maintained for three weeks to prevent re-luxation of elbow joint. Three months after the surgery, objective gait analysis indicated markedly improved limb function. In addition, radiograph showed improved congruity of elbow joint and appropriate bone healing. In dogs with congenital radial head luxation and concurrent complex angular deformity, a single oblique osteotomy might be a viable option to preserve bone length and correct the luxation of elbow joint.

Keywords

Acknowledgement

This work was supported by a grant (NRF-2018R1D1A1B07047451) funded by the National Research Foundation of Korea.

References

  1. Gurevitch R, Hohn BR. Surgical management of lateral luxation and subluxation of the canine radial head. Vet Surg. 1980;9(2):49-57. https://doi.org/10.1111/j.1532-950X.1980.tb01652.x
  2. Dassler C, Vasseur PB. Elbow luxation. In: Slatter DG, editor. Textbook of Small Animal Surgery. 3rd ed. Philadelphia: W.B. Saunders Company; 2003, 1919-1927.
  3. DeCamp CE, Johnston SA, Dejardin LM, Schaefer SL. Brinker, Piermattei and Flo's Handbook of Small Animal Orthopedics and Fracture Repair. 5th ed. St. Louis: Elsevier; 2016, 332-337.
  4. Kene RO, Lee R, Bennett D. The radiological features of congenital elbow luxation/subluxation in the dog. J Small Anim Pract. 1982;23(10):621-630. https://doi.org/10.1111/j.1748-5827.1982.tb02055.x
  5. Fitzpatrick N, Yeadon R, Farrell M. Surgical management of radial head luxation in a dog using an external skeletal traction device. Vet Comp Orthop Traumatol. 2013;26(2):140-146. https://doi.org/10.3415/VCOT-11-11-0160
  6. Harasen G. Congenital radial head luxation in a bulldog puppy. Can Vet J 2012;53(4):439-441.
  7. Clark KJ, Jerram RM, Walker AM. Surgical management of suspected congenital luxation of the radial head in three dogs. N Z Vet J. 2010;58(2):103-109. https://doi.org/10.1080/00480169.2010.65265
  8. Heidenreich DC, Fourie Y, Barreau P. Presumptive congenital radial head sub-luxation in a shih tzu: successful management by radial head ostectomy. J Small Anim Pract. 2015;56(10):626-629. https://doi.org/10.1111/jsap.12353
  9. Kim SY, Snowdon KA, DeCamp CE. Single oblique osteotomy for correction of antebrachial angular and torsional deformities in a dog. J Am Vet Med Assoc. 2017;251(3):333-339. https://doi.org/10.2460/javma.251.3.333
  10. Meola SD, Wheeler JL, Rist CL. Validation of a technique to assess radial torsion in the presence of procurvatum and valgus deformity using computed tomography: a cadaveric study. Vet Surg. 2008;37(6):525-529. https://doi.org/10.1111/j.1532-950X.2008.00399.x
  11. Franklin SP, Dover RK, Andrade N, Rosselli D, Clarke KM. Correction of antebrachial angulation-rotation deformities in dogs with oblique plane inclined osteotomies. Vet Surg. 2017;46(8):1078-1085. https://doi.org/10.1111/vsu.12706
  12. Hamilton-Bennett S, Oxley B, Behr S. Accuracy of a patient-specific 3D printed drill guide for cervical transpedicular screw placement. Vet Surg. 2018;47(2):236-242. https://doi.org/10.1111/vsu.12734
  13. Oxley B. A 3-dimensional-printed patient-specific guide system for minimally invasive plate osteosynthesis of a comminuted mid-diaphyseal humeral fracture in a cat. Vet Surg. 2018;47(3):445-453. https://doi.org/10.1111/vsu.12776
  14. Hall EL, Baines S, Bilmont A, Oxley B. Accuracy of patient-specific three-dimensional-printed osteotomy and reduction guides for distal femoral osteotomy in dogs with medial patella luxation. Vet Surg. 2019;48(4):584-591. https://doi.org/10.1111/vsu.13126
  15. Spadari A, Romagnoli N, Venturini A. A modified Bell-Tawse procedure for surgical correction of congenital elbow luxation in a Dalmatian puppy. Vet Comp Orthop Traumatol. 2001;14(4):210-213. https://doi.org/10.1055/s-0038-1632700