Autogenous Fat Grafts to Prevent Recurrence following Surgical Correction of Growth Deformities of the Radius and Ulna in the Dog

The use of autogenous fat grafts as interpositional material to prevent the regrowth of bone is discussed. Four cases from a series of ten are presented to illustrate the use of autogenous fat grafts as an aid in preventing recurrence following surgical correction of growth deformities of the radius and ulna. Surgery consisted of removing a segment of ulna and filling the defect with an autogenous fat graft to prevent the ulna from reuniting. Partial ulnar ostectomy was combined with radial osteotomy when indicated.     

Asynchronous Growth of the Canine Radius and Ulna: Surgical Correction following Experimental Premature Closure of the Distal Radial Physis

Marked lameness and elbow incongruity occurred in seven 21-week-old dogs following experimental premature closure of the distal radial physis at 10 weeks of age. Midradial transverse osteotomies and bone plate stabilization performed on five dogs resulted in marked reduction of elbow incongruity and forelimb lameness. Two dogs had no surgery and served as controls for the surgical procedure. At 50 weeks of age the proximal radial articular surface was displaced 5.3 mm farther from the coronoid process in control dogs as compared to dogs having transverse radial osteotomy. Markedly worse clinical, radiographic, and pathologic changes in the control group demonstrated the importance of reestablishing and preserving elbow congruity when treating asynchronous growth of the canine forelimb caused by premature closure of the distal radial physis. The technique described is recommended as one method to treat premature distal radial physeal closure clinically.     

一例黑熊尺骨桡骨开放性骨折的诊疗

2008年9月7日,哈尔滨市某实验林场养熊场1只8月龄雄性黑熊因左前肢被大熊咬伤而就诊。经体格检查发现小黑熊左前肢尺骨和桡骨开放性骨折。采用内固定法治疗,2个月后小黑熊痊愈。     

The Effects of Fixation of the Ulna to the Radius in Young Foals

The effects of radioulnar fixation were studied in 21 Quarter horse foals by applying a bone plate to the caudal aspect of the proximal part of the ulna, with screws engaging both the radius and the ulna. The plates were applied at 1 month of age in six foals (group I), 5 months of age in six foals (group II), and 7 months of age in three foals (group III). Six foals underwent sham operations at 1 month of age to serve as controls (group IV). Ulnar dysplasia and elbow subluxation developed in all treated foals. The magnitude of ulnar dysplasia was inversely related to the patient's age at fixation and was accompanied by degenerative joint disease and lameness in foals undergoing fixation at 1 and 5 months of age. Removal of the fixation appliances 16 weeks after implantation in three foals from each of groups I and II failed to reverse the degree of ulnar dysplasia. Although foals undergoing fixation at 7 months of age (group III) were not lame, radiographic evidence of subluxation and subtle degenerative changes in the articular cartilage of the treated elbow did develop. Recommendations for avoidance of radioulnar fixation were developed from these observations.     

Transplantation of the Canine Distal Ulna as a Free Vascularized Bone Graft

An autogenous free vascular bone graft of the canine distal ulna was evaluated. The vascularity of the graft was based on a musculoperiosteal sheath supplied solely by the caudal interosseous artery and vein. Four autogenous heterotopic (ulna to tibia) vascular transfers were performed. Two avascular transfers were performed to provide baseline criteria from which the success of vascularized transfers could be assessed. Clinical lameness evaluation, serial radiographs, bone scintigraphy, and sequential fluorochrome bone labeling were performed after surgery in both vascular and avascular transfers. All dogs were free of lameness in the donor limb by the 26th postoperative day. Serial radiographs revealed rapid graft incorporation and hypertrophy in all vascularized grafts and severe bone resorption in nonvascularized grafts. Histology, microangiography, and evaluation of fluorochrome bone labels were performed 90 days after surgery to determine graft viability, incorporation and temporal remodeling patterns. Microangiography and fluorochrome assessment complemented the histological findings. Based on these findings the distal ulnar bone graft was determined to be both viable and structurally adequate for selected cases of long bone reconstruction.     

小型犬尺桡骨,股骨远端骨折的钢板植入及取出手术

本文对小型犬尺桡骨和股骨远端骨折实施了钢板植入和愈合后钢板的取出手术。由于小型犬骨骼细,找不到合适的钢板。我们利用现有的材料根据骨折的具体情况,进行了钢板植入手术的尝试均取得了成功。     

The Anatomic Basis of a Free Vascularized Bone Graft Based on the Canine Distal Ulna

The anatomy of the canine distal ulna was evaluated to determine its potential as a free vascularized bone graft. Twelve cadavers were studied by gross dissection and nonselective and selective angiography. The caudal interosseous artery consistently served as a source artery to the distal ulnar periosteal vasculature in all dogs. The diameters of the caudal interosseous artery and venae comitantes were large enough to permit microvascular anastomoses. Nonselective perfusions of the brachial artery demonstrated large barium-filled vessels within soft tissues surrounding the ulna with anastomotic connections between medullary and periosteal vasculature. Grafts selectively perfused through the caudal interosseous artery (periosteal circulation only) had barium-filled vessels within the muscular cuff, periosteum, cortical bone, and medullary canal of the ulna. A surgical approach to remove the distal ulna along with an intact musculoperiosteal cuff and its associated vasculature is described.     

Fixation of Radius and Ulna Fractures in the Immature Dog and Cat A Review of Popular Techniques and a Report of Eight Cases Using Plate Fixation

External immobilization and traditional pinning techniques for radius and ulna fractures in immature animals are associated with complications. Prolonged splinting and casting risks postural hyperextension. Pinning techniques may injure growing bones and joints. Eight cases are presented in which fractures of the radius and ulna in immature animals were treated with plates and without external splints. Ail fractures healed without iatrogenic injury to the growing bones and joints and without hyperextension problems of fracture disease. Plating proved a highly effective method of treatment for these fractures in growing animals, avoiding complications and the problems associated with external splinting and traditional pinning techniques.     

普通骨板内固定治疗玩具犬桡尺骨骨折的回顾性分析

本试验旨在评估普通骨板内固定治疗玩具犬桡尺骨骨折的临床效果及并发症。回顾了中国农业大学动物医院使用普通骨板（圆洞骨板或兽医可剪裁骨板）开放式复位和内固定治疗桡尺骨骨折的玩具犬的病历记录,并对这些病例进行回访。入选病例满足以下条件：体重不超过7 kg;回访时间大于12个月;病例信息记录完整。结果显示：共纳入63只犬的64例桡尺骨骨折,49例（76.6%）术后无跛行,7例（10.9%）术后勉强可见到跛行,6例（9.3%）存在轻度跛行,2例（3.1%）存在中度跛行。严重并发症的发生率是6.3%,轻微并发症的发生率是27%。试验表明,普通骨板内固定能有效治疗玩具犬桡尺骨骨折,该方法临床效果良好,且严重并发症发生率低。     

Surgical Correction of Angular Limb Deformity of the Forelimbs of a 7-month-old Calf

Severe angular limb deformity of the forelimbs of a 7-month-old calf was treated by temporary physeal bridging of the distal radial physes using screws and wires. Marked straightening of the deformed forelegs and improvement in ambulation were noted when the calf was evaluated at three and nine months after surgery.     

普通T形骨板治疗玩具犬桡尺骨远端骨折的手术效果

旨在评估普通T形骨板内固定治疗玩具犬桡尺骨远端骨折的临床效果及并发症。回顾了在中国农业大学动物医院采用开放式复位和普通T形骨板内固定治疗桡尺骨远端骨折的玩具犬的病历记录,并对这些病例进行回访。入选病例满足：体重不超过7 kg;骨折位置位于前臂远端(远端骨段与桡骨长度比值<0.25);回访时间>12个月;病例信息记录完整。结果表明：共纳入29只犬的29例桡尺骨远端骨折,26例(89.7%)术后无跛行,3例(10.3%)术后勉强可见跛行。未发生严重并发症,轻微并发症的发生率是20.7%(n=6)。普通T形骨板内固定能有效治疗玩具犬桡尺骨远端骨折,临床效果良好,无严重并发症。