Safe corridors for external skeletal fixator pin placement in feline long bones
Jazyk angličtina Země Velká Británie, Anglie Médium print-electronic
Typ dokumentu časopisecké články
PubMed
34870491
PubMed Central
PMC10812313
DOI
10.1177/1098612x211057329
Knihovny.cz E-zdroje
- Klíčová slova
- External skeletal fixation, angular deformity, biological fixation, feline limb anatomy, fracture, osteosynthesis, pin insertion,
- MeSH
- externí fixátory * veterinární MeSH
- fixace fraktury metody veterinární MeSH
- humerus chirurgie MeSH
- kočky chirurgie MeSH
- kostní hřeby * veterinární MeSH
- psi MeSH
- tibie MeSH
- zvířata MeSH
- Check Tag
- kočky chirurgie MeSH
- psi MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVES: External skeletal fixation is an established technique in cats for biological fixation of long bone fractures, stabilisation of the joints, and treatment of shearing injuries and angular deformities. As appropriate and accurate pin insertion is imperative for a successful outcome, knowledge of topographic anatomy and areas that are safe (safe corridors) for pin placement is integral to successful surgery. At present, however, safe corridors have not been determined fully in feline orthopaedics, with surgeons having to rely on knowledge based on canine orthopaedics. This study was performed to determine safe corridors for pin placement in feline long bones. METHODS: The limbs of six feline cadavers were frozen. Only limbs with no history of orthopaedic conditions were used. Transverse sections through the limbs were examined, and anatomical structures were determined in relation to the bone. These structures were compared with those of the contralateral limbs, which were dissected for topographic assessment. Safe corridors were defined as topographic areas where no vital structures, muscles or joints were present. RESULTS: Examination of the humerus revealed safe corridors at its proximal craniolateral aspect and on the medial and lateral humeral condyles. Safe corridors of the antebrachium were identified on the lateral aspect of the olecranon, the distal two-thirds of the medial antebrachium and the distal third of the lateral antebrachium. Safe corridors in the femur consisted of a small area lateral to and just below the major trochanter, and on the medial and lateral femoral condyles. Evaluation of the tibia revealed safe corridors on the medial aspect of the entire tibia, the cranial aspect of the proximal tibia on the tibial crest and the area just proximal to the lateral malleolus. CONCLUSIONS AND RELEVANCE: Safe corridors for pin placement during external skeletal fixation in feline limbs differed from those in canine limbs. Knowledge of canine anatomy may be inapplicable to pin placement in feline limbs undergoing external skeletal fixation.
Zobrazit více v PubMed
Corr S. Complex and open fractures: a straightforward approach to management in the cat. J Feline Med Surg 2012; 14: 55–64. PubMed PMC
Corr S. Intensive, extensive, expensive: management of distal limb shearing injuries in cats. J Feline Med Surg 2009; 11: 747–757. PubMed PMC
Corr S. Practical guide to linear external skeletal fixation in small animals. In Practice 2005; 27: 76–85.
Jaeger GH, Wosar MA, Marcellin-Little DJ, et al.. Use of hinged transarticular external fixation for adjunctive joint stabilization in dogs and cats: 14 cases (1999–2003). J Am Vet Med Assoc 2005; 227: 586–591. PubMed
Kulendra E, Grierson J, Okushima S, et al.. Evaluation of the transarticular external skeletal fixator for the treatment of tarsocrural instability in 32 cats. Vet Comp Orthop Traumatol 2011; 24: 320–325. PubMed
Braden TD, Eicker SW, Abdinoor D, et al.. Characteristics of 1000 femur fractures in the dog and cat. Vet Comp Orthop Traumatol 1995; 8: 203–209.
Beever L, Giles K, Meeson R. Postoperative complications associated with external skeletal fixators in cats. J Feline Med Surg 2017; 19: 727–736. PubMed PMC
Kirkby KA, Lewis DD, Lafuente MP, et al.. Management of humeral and femoral fractures in dogs and cats with linear-circular hybrid external skeletal fixators. J Am Anim Hosp Assoc 2008; 44: 180–197. PubMed
Worth AJ. Management of fractures of the long bones of eight cats using external skeletal fixation and a tied-in intra-medullary pin with a resin-acrylic bar. N Z Vet J 2007; 55: 191–197. PubMed
Langley-Hobbs SJ, Straw M. The feline humerus. Vet Comp Orthop Traumatol 2005; 18: 1–6. PubMed
Marti JM, Miller A. Delimitation of safe corridors for the insertion of external fixator pins in the dog 1: hindlimb. J Small Anim Pract 1994; 35: 16–23.
Palmer RH. Biological osteosynthesis. Vet Clin North Am Small Anim Pract 1999; 29: 1171–1185. PubMed
Johnson AL, Kneller SK, Weigel RM. Radial and tibial fracture repair with external skeletal fixation: effects of fracture type, reduction, and complications on healing. Vet Surg 1989; 18: 367–372. PubMed
Perry KL, Bruce M. Impact of fixation method on postoperative complication rates following surgical stabilization of diaphyseal tibial fractures in cats. Vet Comp Orthop Traumatol 2015; 28: 109–115. PubMed
Marti JM, Miller A. Delimitation of safe corridors for the insertion of external fixator pins in the dog 2: forelimb. J Small Anim Pract 1994; 35: 78–85.
Langley-Hobbs SJ, Carmichael S, McCartney W. Use of external skeletal fixators in the repair of femoral fractures in cats. J Small Anim Pract 1996; 37: 95–101. PubMed