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Treatment of a Radio-Ulnar Atrophic Pseudoarthrosis in a Toy Poodle Using an Autologous Coccygeal Vertebrae Transfer and Plate Fixation

Received: 26 July 2022    Accepted: 16 August 2022    Published: 10 January 2023
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Abstract

Description of the treatment of a radio-ulnar atrophic pseudo-arthrosis in a one-and-a-half-year-old female toy tramp dog. Due to a domestic trauma the patient suffred a radio-ulnar fracture. Unfortunately at the time of the first visit we were not in possession of the patient’s medical record and for this reason we did not know the evolution of the previous surgical revision. The owner reports that at another centre, the subject underwent three osteosynthesis procedures (osteosynthesis with radio-ulnar intramedullary nails, plate fixation and external circular fixator), with negative results. After a long consultation with the owner it was decided to perform a surgery to restore the bone radius and ensure good mobility. Our procedure included debridement and canalisation of the bone stumps, harvesting and grafting of the coccygeal VII vertebra, autologous spongy bone grafting, osteosynthesis with VCP1.5/2.0 mm plate and 1.5- and 2.0-mm cortical screws. Clinical and radiographic evaluation were carried out regularly, during which we decided to remove some screw in order to achieve an implant dynamization. At weeks 7 and 16 four screws were removed. At week 60 the plate was removed and further controls at weeks 64 and 90 confirmed anatomical and functional healing. No wound or bone healing complication were reported.

Published in Animal and Veterinary Sciences (Volume 10, Issue 6)
DOI 10.11648/j.avs.20221006.11
Page(s) 170-173
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Atrophic Pseudoarthrosis, Vertebrae Transfer, Radio-Ulnar Fracture, Plate Osteosynthesis

References
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[2] Tobias KM, Johnston SA (2012). Delayed Unions, Nonunions, and Malunions. In: Veterinary Surgery Small Animal Vol I: Elsevier S. aunders. pp 647.
[3] Tobias KM, Johnston SA (2021). Delayed Unions, Nonunions, and Malunions. In: Veterinary Surgery Small Animal Vol I: Elsevier Saunders. pp 647- 655.
[4] Newton CD, Nunamaker DM. Texbook of small Animal Orthopaedics (1985): Lippincott. pp 35-41.
[5] Rhinelander FW, Philips RS, Steel WM, et al (1962). Microangiography and bone healing: Undisplaced closed fractured. Journal of Bone and Joint Surgery 44A: 1273.
[6] Marsell R, Einhorn TA (June 2011). The biology of fracture healing. Injury International Journal Care Injured. 42 (6) pp 551-555.
[7] Greenbaum MA, Kanat IO (1993). Current concepts in bone healing. Review of the literature. Journal of the American Pediatric Medical Association. 83 (3): 123-9.
[8] Calori GM, Albisetti W, Agus A, et al (2007).. Risk factors contributing to fracture non-unions. Injury International Journal Care Injured, 38S, 11-18.
[9] Weber BG, Cech O. Pseudoarthrosis (1976). Stuttgart, Vienna, Hans Huber Bern.
[10] Atilola MAO, Summer–Smith G: Nonunion fractures in dogs (1984). Journal Veterinary Orthopedics 3: 21-24.
[11] Bennett D. Complications of Fracture Healing (1998). In: Manual of Small Animal Fracture Repair and Management. Ed A Coughlan, A Miller. Cheltenham, BSAVA. pp 329-340.
[12] Welch JA, Boudieau RJ, DeJardin LM, Spodnick GJ (1997). The Intraosseus Blood Supply of the Canine Radius: Implications for Healing of distal Fractures in Small Dogs. Veterinary Surgery 26: 57-61.
[13] Yeh LS, You SM. Repair of a mandibular defect with a free vascularized coccygeal vertebra transfer in a dog (1994). Veterinary Surgery July-August.
[14] (Robert D. Welch, DVM, PhD, and Daniel D. Lewis, DVM; Distraction osteogenesis (1999). Veterinary Clinics of North America: Small animal practice: volume 29 number 5 september.
[15] Piermattei, D, Jhonson A (2004). An Atlas of surgical approaches to the bones and joint of dog and cat, IV edition: Elsevier. pp 196-198.
[16] James AW, LaChaud G, Shen J, et al. A Review of the Clinical Side Effect of Bone Morphogenic Protein-2 (2016). Tissue Engineering Part. B Reviews: 22 (4): 284-297, August.
[17] Zoi SI, Papadimitriou SA, Galatos AD, et al. Influence of a titanium mesh on the management of segmental long bone defects (2015). Veterinary and Comparative Orthopaedics and Traumatology: 28 (06): 417-424.
[18] G. Vertenten, F. Gasthuys, M. Cornelissen et al. Enhancing bone healing and regeneration (April 2010): present and future perspectives in veterinary orthopaedics. Veterinary and Comparative Orthopaedics and Traumatology.
[19] Ali Said Durmus, Emine Unsaldi. Treatment of distal radioulnar synostosis and growth deformity in a dog (2008). Olgu Sunumu; 22 (5): 299-301.
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  • APA Style

    Giuseppe Bartoletta, Franco Pizzirani, Stefano Pizzirani. (2023). Treatment of a Radio-Ulnar Atrophic Pseudoarthrosis in a Toy Poodle Using an Autologous Coccygeal Vertebrae Transfer and Plate Fixation. Animal and Veterinary Sciences, 10(6), 170-173. https://doi.org/10.11648/j.avs.20221006.11

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    ACS Style

    Giuseppe Bartoletta; Franco Pizzirani; Stefano Pizzirani. Treatment of a Radio-Ulnar Atrophic Pseudoarthrosis in a Toy Poodle Using an Autologous Coccygeal Vertebrae Transfer and Plate Fixation. Anim. Vet. Sci. 2023, 10(6), 170-173. doi: 10.11648/j.avs.20221006.11

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    AMA Style

    Giuseppe Bartoletta, Franco Pizzirani, Stefano Pizzirani. Treatment of a Radio-Ulnar Atrophic Pseudoarthrosis in a Toy Poodle Using an Autologous Coccygeal Vertebrae Transfer and Plate Fixation. Anim Vet Sci. 2023;10(6):170-173. doi: 10.11648/j.avs.20221006.11

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  • @article{10.11648/j.avs.20221006.11,
      author = {Giuseppe Bartoletta and Franco Pizzirani and Stefano Pizzirani},
      title = {Treatment of a Radio-Ulnar Atrophic Pseudoarthrosis in a Toy Poodle Using an Autologous Coccygeal Vertebrae Transfer and Plate Fixation},
      journal = {Animal and Veterinary Sciences},
      volume = {10},
      number = {6},
      pages = {170-173},
      doi = {10.11648/j.avs.20221006.11},
      url = {https://doi.org/10.11648/j.avs.20221006.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.avs.20221006.11},
      abstract = {Description of the treatment of a radio-ulnar atrophic pseudo-arthrosis in a one-and-a-half-year-old female toy tramp dog. Due to a domestic trauma the patient suffred a radio-ulnar fracture. Unfortunately at the time of the first visit we were not in possession of the patient’s medical record and for this reason we did not know the evolution of the previous surgical revision. The owner reports that at another centre, the subject underwent three osteosynthesis procedures (osteosynthesis with radio-ulnar intramedullary nails, plate fixation and external circular fixator), with negative results. After a long consultation with the owner it was decided to perform a surgery to restore the bone radius and ensure good mobility. Our procedure included debridement and canalisation of the bone stumps, harvesting and grafting of the coccygeal VII vertebra, autologous spongy bone grafting, osteosynthesis with VCP1.5/2.0 mm plate and 1.5- and 2.0-mm cortical screws. Clinical and radiographic evaluation were carried out regularly, during which we decided to remove some screw in order to achieve an implant dynamization. At weeks 7 and 16 four screws were removed. At week 60 the plate was removed and further controls at weeks 64 and 90 confirmed anatomical and functional healing. No wound or bone healing complication were reported.},
     year = {2023}
    }
    

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    AB  - Description of the treatment of a radio-ulnar atrophic pseudo-arthrosis in a one-and-a-half-year-old female toy tramp dog. Due to a domestic trauma the patient suffred a radio-ulnar fracture. Unfortunately at the time of the first visit we were not in possession of the patient’s medical record and for this reason we did not know the evolution of the previous surgical revision. The owner reports that at another centre, the subject underwent three osteosynthesis procedures (osteosynthesis with radio-ulnar intramedullary nails, plate fixation and external circular fixator), with negative results. After a long consultation with the owner it was decided to perform a surgery to restore the bone radius and ensure good mobility. Our procedure included debridement and canalisation of the bone stumps, harvesting and grafting of the coccygeal VII vertebra, autologous spongy bone grafting, osteosynthesis with VCP1.5/2.0 mm plate and 1.5- and 2.0-mm cortical screws. Clinical and radiographic evaluation were carried out regularly, during which we decided to remove some screw in order to achieve an implant dynamization. At weeks 7 and 16 four screws were removed. At week 60 the plate was removed and further controls at weeks 64 and 90 confirmed anatomical and functional healing. No wound or bone healing complication were reported.
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Author Information
  • Clinica Veterinaria Europa, Firenze, Italy

  • Clinica Veterinaria Europa, Firenze, Italy

  • Cumming School of Veterinary, Medicine Tuft University, Boston, USA

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