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

Keywords

cat, open radius and ulna fractures, external bone fixator, cancellous and cortical bone autograft.

How to Cite

Garnoeva, R., Roydev, R., & Halil, M. (2022). Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case report. Brazilian Journal of Veterinary Medicine, 44, e003322. https://doi.org/10.29374/2527-2179.bjvm003322

Abstract

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.

https://doi.org/10.29374/2527-2179.bjvm003322
PDF
XML

References

Alievi, M. M., Schossler, J. E. W., Guimarães, L. D., Oliviera, A. N. C., Traeslel, C. K., & Ferreiria, P. A. (2007). Implante ósseo cortical alógeno conservado em mel na reconstrução de falha óssea diafisária em fêmur de cães: Avaliação clínica e radiográfica. Ciência Rural, 37(2), 450-457. http://dx.doi.org/10.1590/S0103-84782007000200024.

Bakici, M., Birkan, K., & Cebeci, M. T. (2019). External skeletal fixation. International Journal of Veterinary and Animal Research, 2(3), 69-73.

Beever, L., Giles, K., & Meeson, R. (2017). Postoperative complications associated with external skeletal fixators in cats. Journal of Feline Medicine and Surgery, 19(7), 727-736. http://dx.doi.org/10.1177/1098612X17699466.PMid:28592224.

Bisgard, S. K., Barnhart, M. D., Shiroma, J. T., Kennedy, S. C., & Schertel, E. R. (2011). The effect of cancellous autograft and novel plate design on radiographic healing and postoperative complications in tibial tuberosity advancement for cranial cruciate-deficient canine stifles. Veterinary Surgery, 40(4), 402-407. http://dx.doi. org/10.1111/j.1532-950X.2011.00829.x. PMid:21539577.

Blaeser, L. L., Gallagher, J. G., & Boudrieau, R. J. (2003). Treatment of biologically inactive nonunions by a limited en bloc ostectomy and compression plate fixation: A review of 17 cases. Veterinary Surgery, 32(1), 91-100. http://dx.doi.org/10.1053/jvet.2003.50014. PMid:12520494.

Chung, C. S., Lin, L. S., & Teo, Y. M. (2021). Case report: Treatment of femoral non-union with rib and iliac crest autografts and rhBMP-2 in a cat. Frontiers in Veterinary Science, 8, 756167. http://dx.doi.org/10.3389/fvets.2021.756167. PMid:34901246.

Coronado Junior, G. S., Swenson, C. L., Martinez, S. A., Burkhardt, K. S., & Arnoczky, S. P. (2000). Effects of a 98% solution of glycerol or sterilization with ethylene oxide on FeLV in bone allografts and effects on bone incorporation of allografts in cats. American Journal of Veterinary Research, 61(6), 665-671. http://dx.doi.org/10.2460/ajvr.2000.61.665. PMid:10850843.

Ferreira, M. P., Alievi, M. M., Dal-Bó, I. S., Gonzalez, P. C. S., Nóbrega, F. S., Gouvêa, A. S., & Beck, C. A. C. (2018). Surgical management of long bone fractures in cats using cortical bone allografts preserved in honey. The Canadian Veterinary Journal. La Revue Veterinaire Canadienne, 59(4), 393-396. PMid:29606726.

Fitzpatrick, N., Smith, T. J., O’Riordan, J., & Yeadon, R. (2009). Treatment of incomplete ossification of the humeral condyle with autogenous bone grafting techniques. Veterinary Surgery, 38(2), 173-184. http://dx.doi.org/10.1111/j.1532-950X.2008.00485.x. PMid:19236675.

Johnson, A. L., Kneller, S. K., & Weigel, R. M. (1989). Radial and tibial fracture repair with external skeletal fixation, effects of fracture type, reduction and complications on healing. Veterinary Surgery, 18(5), 367-372. http://dx.doi.org/10.1111/j.1532-950X.1989.tb01102.x. PMid:2815553.

Kanczler, J. M., & Oreffo, R. O. (2008). Osteogenesis and angiogenesis: The potential for engineering bone. European Cells & Materials, 15, 100-114. http://dx.doi.org/10.22203/eCM.v015a08. PMid:18454418.

Minto, B. W., Prada, T. C., Marinho, P. V. T., Zani, C. C., & Menezes, M. P. D. (2015). Successful use of autogenous bone graft for the treatment of a radius-ulna nonunion in an amputee dog. Arquivo Brasileiro de Medicina Veterinária e Zootecnia, 67(4), 979-983. http://dx.doi.org/10.1590/1678-4162-8054.

Nather, A., David, V., Teng, J. W., Lee, C. W., & Pereira, B. P. (2010). Effect of autologous mesenchymal stem cells on biological healing of allografts in critical-sized tibial defects simulated in adult rabbits. Annals of the Academy of Medicine, Singapore, 39(8), 599-606. PMid:20838700.

Piermattei, D. L., Flo, G. L., & DeCamp, C. E. (2006). Handbook of Small Animal Orthopedics and Fracture Repair. Saunders Elsevier.

Piras, L., Cappellari, F., Peirone, B., & Ferretti, A. (2011). Treatment of fractures of distal radius and ulna in toy breed dogs with circular external skeletal fixation: A retrospective study. Veterinary and Comparative Orthopaedics and Traumatology, 24(3), 228-235. http://dx.doi.org/10.3415/VCOT-10-06-0089. PMid:21373718.

Rovesti, G. L., Bosio, A., & Marcellin-Little, D. J. (2007). Management of 49 antebrachial and crural fractures in dogs using circular external fixators. The Journal of Small Animal Practice, 48(4), 194-200. http://dx.doi.org/10.1111/j.1748-5827.2006.00267.x. PMid:17381764.

Thompson Junior, R. C., Garg, A., Clohisy, D. R., & Cheng, E. Y. (2000). Fractures in large segment allografts. Clinical Orthopaedics and Related Research, 370, 227-235. http://dx.doi.org/10.1097/00003086-200001000-00023. PMid:10660718.

Weiser, G. (2012). Introduction to leukocytes and the leukogram. In M. A. Thrall, G. Weiser, R. W. Allison & T. W. Campbell (Eds.), Veterinary Haematology and Clinical Chemistry (p. 122), Wiley-Blackwell.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2022 Radka Garnoeva, Rumen Roydev, Mehmed Halil