Radioulnar Angular Deformiteli Köpeklerde Korrektif Osteotomi ve Osteoplasti Sonuçlarının Değerlendirilmesi
Abstract
Amaç: Bu çalışmanın amacı, köpeklerde radioulnar angular deformitelerin CORA metodolojisine göre angulasyon derecesinin belirlenmesi ve korrektif osteotomi ve osteoplasti sonuçlarının değerlendirilmesidir. Gereç-Yöntem: Çalışmanın materyalini, ön ekstremitelerinde topallık ve carpal eklemlerinde açılanma şikayeti ile getirilen 14 köpek (n=14) oluşturdu. Tüm olgulara preoperatif ve postoperatif topallık, ortopedik ve radyolojik muayeneler yapıldı. Topallık skorlaması yapıldı. Radyografilerde dirsek ve carpal eklemler için oryantasyon açıları, medial proksimal radial açılar (MPRA) ve lateral distal radial açıyı (LDRA) veren anatomik eksen ve eklem oryantasyon çizgilerinden açılar ölçüldü. MPRA ve LDRA arasındaki fark alındı ve elde edilen bu açı frontal düzlem açısı olarak belirlendi (FPA). Etkilenen ekstremitelerin valgus deformitelerinin operatif planlaması CORA yöntemine göre yapıldı. Genel anestezi altında, cerrahi olarak 4 olguda ulnektomi, 10 olguda korrektif osteoplasti gerçekleştirildi. Bulgular: Tüm olguların postoperatif ortopedik muayenelerinde carpal eklemlerde efüzyon, ağrı ve krepitasyon algılanırken; topallık muayenesinde, genellikle 1 ve 2. derece topallık belirlendi. Topallık 3 olguda yoktu. Postoperatif FPA ortalama değeri 7,5±4,07° olarak ölçüldü. Cerrahi sonrası tüm olgularda FPA’nın normal değere yaklaştığı saptandı. Sonuç: Köpeklerde radioulnar angular deformitelerin düzeltilmesinde uygulanılan korrektif osteotomi ve osteoplasti teknikleri ile her ne kadar normal anatomik situsa yakın bulgular sergilenmese de cerrahi olarak başvurulan bu yöntemlerin klinik olarak anlamlı sonuçlar gösterdiği vurgulanabilir.
References
- Kroner K., Cooley K., Hoey S., Hetzel J.S., Bleedorn J.A.: Assesment of Radial Torsion Using Computed Tomography in Dogs With and Without Antebrachial Limb Deformity. Vet. Surg. 2017, 46:24-31.
- Iannotti JP.: Growth plate physiology and pathology. Orthop Clin. North. Am. 1990, 21:1–17.
- Salter R.B., Harris W.R.: Injuries involving the epiphyseal plate. J. Bone. Joint. Surg. Am. 1963, 45:587–622.
- Rovesti LG., Schwarz G., Bogoni P.: Treatment of 30 Angular Limb Deformities of the ANtebrachium and the Crus in the Dog Using Circular External Fixators. The Open Veterinary Science Journal. 2009, 3,41-54.
- Hansen H.J.: A pathologic-anatomical interpretation of disc degeneration in dog, with special reference to the so-called enchondrosis intervertebralis. Acta Orthop. Scand. Suppl. 1952, 11:1–117.
- Barr ARS., Denny HR.: The management of elbow instability caused by premature closure of the distal radial growth plate in dogs. J. Small. Anim. Pract. 1985, 26: 427–35.
- Knapp JL., Tomlınson JL., Fox DB.: Classification of Angular Limb Deformities Affecting the Canine Radius and Ulna Using the Center of Rotation of Angulation Method. Vet. Surg. 2014.
- Fox DB., Tomlınson JL., Cook JL., Breshears LM.: Principles of Uniapical and Biapical Radial Deformity Correction Using Dome Osteotomies and the Center of Rotation of Angulation Methodology in Dogs. Vet. Surg. 2006, 0161-3499/04.
- Ravıv JB., Randy JB., Barbara RG.: T-Plate of Dİstal Radial Closing Wedge Osteotomies for Treatment of Angular Limb Deformities in 18 Dogs. Vet. Surg. 2000, 29.207-217.
- Farriol F., Shapiro F.: Bone development: interaction of molecular components and biophysical forces. Clin. Orthop. Relat. Res. 2005, 432:14–33.
- Olson NC., Carrig CB., Brinker WO.: Asynchronous growth of the canine radius and ulna: Effects of retardation of longitudinal growth of the radius. Am. J. Vet. Res. 1979, 40:351–5.
- Preston CA.: Distraction osteogenesis to treat premature distal radial growth plate closure in a dog. Aust. Vet. J. 2000, 78:387–91.
- Forell EB., Schwarz PD.: Use of external skeletal fixation for treatment of angular deformity secondary to premature distal ulnar physeal closure. J. Am. Anim. Hosp. Assoc. 1993, 29:460-476.
- MacDonald JM., Matthiesen D.: Treatment of forelimb growth plate deformity in 11 dogs by radial dome osteotomy and external coaptation. Vet. Surg. 1991, 20:402-408.
- Fox SM., Bray JC., Guerin SR.: Antebrachial deformities in the dog: Treatment with external fixation. J. Small Anim. Pract. 1995, 36:315-320.
- Gilson SD., Piermattei DL., Schwarz PD.: Treatment of humeroulnar subluxation with a dynamic proximal ulnar osteotomy: A review of 13 cases. Vet. Surg. 1989, 18:114-122.
- Newton CD., Nunamaker OM., Dickinson CR., Surgical management of radial physeal growth disturbances in dogs. J. Am. Vet. Med. Assoc. 1975, 167, 1011-8.
- Marcellin-Little DJ., Ferretti A., Roe SC.: Hinged Ilizarov fixation for correction of antebrachial deformities., Vet Surg 1998, 27:231–245.
- Balfour RJ., Boudrieau RJ., Gores BR.: T-plate fixation of distal radial closing wedge osteotomies for treatment of angular limb deformities in 18 dogs. Vet. Surg. 2000, 29(3):207-17.
- Marcellin-Little DJ., Ferretti A., Roe SC.: Hinged Ilizarov fixation for correction of antebrachial deformities. Vet. Surg. 1998, 27:231–245.
- Kim J., Song J., Kim SY., Kang BJ.: Single oblique osteotomy for correction of congenital radial head luxation with concurrent complex angular limb deformity in a dog: a case report. J. Vet. Sci. 2020, 21(4):e62.
- Çeliktaş, M., Gülşen M.: Tibia multiapikal deformiteleri ve tedavisi. TOTBİD Dergisi. 2020, 19:241-246.
Evaluation of Corrective Osteotomy and Osteoplasty Outcomes in Dogs with Radioulnar Angular Deformity
Abstract
Objective: The aim of this study was to determine the degree of angulation of radioulnar angular deformities in dogs according to the CORA methodology and to evaluate the results of corrective osteotomy and osteoplasty. Material and Methods: The material of the study consisted of 14 dogs (n=14) brought with the complaint of lameness in their anterior extremities and angulation in their carpal joints. Preoperative and postoperative lameness, orthopedic and radiological examinations were performed in all cases. Lameness scoring was done. Orientation angles for the elbow and carpal joints, medial proximal radial angles (MPRA) and lateral distal radial angle (LDRA) were measured on the radiographs. The difference between MPRA and LDRA was taken and this angle was determined as the frontal plane angle (FPA). The operative planning of the valgus deformities of the affected extremities was performed according to the CORA method. Under general anesthesia, ulnectomy was performed in 4 cases and corrective osteoplasty was performed in 10 cases. Results: In the postoperative orthopedic examination of all cases, effusion, pain and crepitation were detected in the carpal joints. In the lameness examination, generally 1st and 2nd degree lameness was determined. Lameness was absent in 3 cases. The mean postoperative FPA value was 7.5±4.07°. It was found that FPA approached the normal value in all cases after surgery. Conclusion: Although corrective osteotomy and osteoplasty techniques applied in the correction of radioulnar angular deformities in dogs do not show findings close to normal anatomical situs, it can be emphasized that these surgical methods show clinically significant results.
References
- Kroner K., Cooley K., Hoey S., Hetzel J.S., Bleedorn J.A.: Assesment of Radial Torsion Using Computed Tomography in Dogs With and Without Antebrachial Limb Deformity. Vet. Surg. 2017, 46:24-31.
- Iannotti JP.: Growth plate physiology and pathology. Orthop Clin. North. Am. 1990, 21:1–17.
- Salter R.B., Harris W.R.: Injuries involving the epiphyseal plate. J. Bone. Joint. Surg. Am. 1963, 45:587–622.
- Rovesti LG., Schwarz G., Bogoni P.: Treatment of 30 Angular Limb Deformities of the ANtebrachium and the Crus in the Dog Using Circular External Fixators. The Open Veterinary Science Journal. 2009, 3,41-54.
- Hansen H.J.: A pathologic-anatomical interpretation of disc degeneration in dog, with special reference to the so-called enchondrosis intervertebralis. Acta Orthop. Scand. Suppl. 1952, 11:1–117.
- Barr ARS., Denny HR.: The management of elbow instability caused by premature closure of the distal radial growth plate in dogs. J. Small. Anim. Pract. 1985, 26: 427–35.
- Knapp JL., Tomlınson JL., Fox DB.: Classification of Angular Limb Deformities Affecting the Canine Radius and Ulna Using the Center of Rotation of Angulation Method. Vet. Surg. 2014.
- Fox DB., Tomlınson JL., Cook JL., Breshears LM.: Principles of Uniapical and Biapical Radial Deformity Correction Using Dome Osteotomies and the Center of Rotation of Angulation Methodology in Dogs. Vet. Surg. 2006, 0161-3499/04.
- Ravıv JB., Randy JB., Barbara RG.: T-Plate of Dİstal Radial Closing Wedge Osteotomies for Treatment of Angular Limb Deformities in 18 Dogs. Vet. Surg. 2000, 29.207-217.
- Farriol F., Shapiro F.: Bone development: interaction of molecular components and biophysical forces. Clin. Orthop. Relat. Res. 2005, 432:14–33.
- Olson NC., Carrig CB., Brinker WO.: Asynchronous growth of the canine radius and ulna: Effects of retardation of longitudinal growth of the radius. Am. J. Vet. Res. 1979, 40:351–5.
- Preston CA.: Distraction osteogenesis to treat premature distal radial growth plate closure in a dog. Aust. Vet. J. 2000, 78:387–91.
- Forell EB., Schwarz PD.: Use of external skeletal fixation for treatment of angular deformity secondary to premature distal ulnar physeal closure. J. Am. Anim. Hosp. Assoc. 1993, 29:460-476.
- MacDonald JM., Matthiesen D.: Treatment of forelimb growth plate deformity in 11 dogs by radial dome osteotomy and external coaptation. Vet. Surg. 1991, 20:402-408.
- Fox SM., Bray JC., Guerin SR.: Antebrachial deformities in the dog: Treatment with external fixation. J. Small Anim. Pract. 1995, 36:315-320.
- Gilson SD., Piermattei DL., Schwarz PD.: Treatment of humeroulnar subluxation with a dynamic proximal ulnar osteotomy: A review of 13 cases. Vet. Surg. 1989, 18:114-122.
- Newton CD., Nunamaker OM., Dickinson CR., Surgical management of radial physeal growth disturbances in dogs. J. Am. Vet. Med. Assoc. 1975, 167, 1011-8.
- Marcellin-Little DJ., Ferretti A., Roe SC.: Hinged Ilizarov fixation for correction of antebrachial deformities., Vet Surg 1998, 27:231–245.
- Balfour RJ., Boudrieau RJ., Gores BR.: T-plate fixation of distal radial closing wedge osteotomies for treatment of angular limb deformities in 18 dogs. Vet. Surg. 2000, 29(3):207-17.
- Marcellin-Little DJ., Ferretti A., Roe SC.: Hinged Ilizarov fixation for correction of antebrachial deformities. Vet. Surg. 1998, 27:231–245.
- Kim J., Song J., Kim SY., Kang BJ.: Single oblique osteotomy for correction of congenital radial head luxation with concurrent complex angular limb deformity in a dog: a case report. J. Vet. Sci. 2020, 21(4):e62.
- Çeliktaş, M., Gülşen M.: Tibia multiapikal deformiteleri ve tedavisi. TOTBİD Dergisi. 2020, 19:241-246.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Veterinary Surgery |
| Journal Section | Research articles |
| Authors | |
| Publication Date | May 15, 2023 |
| Submission Date | February 26, 2023 |
| Published in Issue | Year 2022 Volume: 1 Issue: 2 |
