A Comparison of Clinical and Radiological Outcomes of Different Anatomical Regions Plate osteosynthesis in Cats with Body of Ilium Fractures


Опубликован: Jul 10, 2022
Mustafa Arıcan
https://orcid.org/0000-0001-8180-135X
N Zamirbekova
EO Uzunlu
B Ozdil
F Gümüş
Аннотация

Pelvis fractures in cats are one of the most common orthopedic problems that cause serious injuries. Pelvic fractures are between 20-32% out of all fractures in cats. Os Ilium fractures constitute 18-46% of pelvic fractures. In the presented study, the post-operative clinical and radiological results of placing the plate on the dorsal, ventral and lateral of the corpus ossis ilii in cats with os ilium fractures were evaluated.

Twenty three cats (different races, ages and sex) with corpus ossis ilium and multiple fractures (sacro-iliac joint luxation, acetabulum fractures, os ischium fractures) were used as a materials. Anamnesis, clinical and neurological examinations of patients were taken and 3 groups were formed for this study. Group 1; In 7 cases, the plate was placed in the dorsal of the body of ilium, in group 2, 7 cases in the lateral of body of ilium and in Group 3; in 6 cases, in the ventral of the body of ilium. Operations were performed under general anesthesia. LC-DCP plate or reconstruction plates were used for fixation. There was no narrowing in the pelvic canal and no screw loosening in cases applied dorsally and ventrally. In 6 (85.7%) of 7 cases, there was no narrowing in the pelvic canal in lateral application. Only one case had problem. Recovery rate (85.7%) in all cases.

In conclusion, in cases of os ilium fracture in cats, no difference was observed between the clinical and radiological (narrowing in the pelvic canal) results of placing LC-DCP or reconstruction plates on the dorsal, lateral and ventral of the bone in the post-operative period. Thus, screw loosening did not occur. But, case selection is important in the lateral, dorsal or ventral application of the plate in os ilium fractures. If the surgical intervention has passed 5-6 days, double plate application provides a better prognosis. Dorsale plate application provides ease of manipulation when compared to ventral application. Also, if the fracture line close to the acetabulum, lateral application should be preferred.

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Биография автора
Mustafa Arıcan, Department of Surgery, Faculty of Veterinary Medicine, The University of Selcuk.
Department of Surgery,
Библиографические ссылки
Breshears LA, Fitch RB, Wallace LJ, Wells CS, Swiderski JK (2004) The radiographic evaluation of repaired canine ilial fractures. Vet Comp Orthop Traumatol 17:64–72.
Bookbinder PE, Flanders JA (1992). Characteristics of pelvicfracture in thecat. A 10-year retrospectivestudy. Vet Comp Orthop Traumatol 5:122–7.
Dyce KM, Sack WO, Wensing CJC (2009). Dogs and cats. In: Textbook of Veterinary Anatomy. 4th ed, Saunders/Elsevier, pp 435–437.
Grierson J (2019) Dealing with pelvic fractures in cats. In practice Companion Anim Prac 41:106-14.
Hamilton MH, Evans DA, Langley-Hobbs SJ (2009) Feline ilial fractures: assessment of screw loosening and pelvic canal narrowing after lateral plating. Vet Surg 38:326–333.
Jacobsen A, Schrader SC (1987) Peripheral nerve injury associated with fracture o rfracture-dislocation of the pelvis in dogs and cats: 34 cases (1978–1982). J Am Vet Med Assoc 190:569–572.
Langley‐Hobbs SJ, Meeson RL, Hamilton MH, Radke H, Lee K (2009) Feline ilial fractures: a prospective study of dorsal plating and comparison with lateral plating. Vet Surg 38:334-342.
Lanz OI (2002) Lumbo sacral and pelvic injuries. Vet Clin North Am Small Anim Pract 32:949–962.
Matthiesen DT, Scavelli TD, Whitney WO (1991) Subtotal colectomy for the treatment of obstipation secondary to pelvic fracture malunion in cats. Vet Surg 20:113–117.
Meeson RL, Geddes AT (2017) Management andlongtermoutcome of pelvicfractures: a retrospectivestudy of 43 cats. J Felıne Med Surg 19:36-41.
Miller A (2002) Decision making in the management of pelvic fractures in small animals. In practice Comp Anım Pract 24:54-61.
Rosin E (1993) Megacolon in cats. The role of colectomy. Vet Clin North Am Small Anim Pract 23:587–94.
Schmierer PA, Kircher PR, Hartnack S, Knell SC (2015) Screw loosening and pelvic canal narrowing after lateral plating of feline ilial fractures with locking and nonlocking plates. Vet Surg 44:900-904.
Tatton B, Jeffery N, Holmes M (2009) Predicting recovery of urination control in cats after sacro caudal injury: a prospective study. J Small Anim Pract 50:593-596.
Tomlinson JL (2003) Fractures of the pelvis. In: Textbook of Small Animal Surgery. 3rd ed, Saunders, Philadelphia, pp 1989–2001.
Vangundy TE, Hulse DA, Nelson JK, Boothe HW (1998). Mechanical evaluation of two canine iliac fracture fixation systems. Vet Surg 17:321–327.