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Vet Comp Orthop Traumatol 1992; 05(02): 85-89
DOI: 10.1055/s-0038-1633073
Clinical Communication
Schattauer GmbH

The Repair and Healing of Two Traumatic Ilial Body Fractures Adjacent to Cemented Total Hip Acetabular Components

T. L. Dew
1   Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Polytechnic and State University, Blacksburg, Virginia, USA
,
P. K. Shires
1   Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Polytechnic and State University, Blacksburg, Virginia, USA
› Author Affiliations
Further Information

Publication History

Received for publication: 08 July 1991

Publication Date:
06 February 2018 (online)

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Summary

This report has documented the repair and healing of two ilial fractures in dogs which were compounded by the presence of a cemented acetabular prosthesis. While specific recommendations can not be made from such a small number of cases, the information presented herein suggests that such fractures will heal without complication if aseptic surgical techniques and standard methods of internal fixation are employed. The authors strongly recommend the prophylactic use of intravenous antibiotics and the placement of cancellous bone graft when the repair of such fractures is attempted.

Two traumatic ilial fractures involving the cement/bone interface of acetabular prostheses were repaired using lag screws, cerclage wires, and autogenous bone grafts. The fractures healed and ambulatory function was regained.

Keywords

Total hip replacement - polymethylmethacrylate - ilial fracture
 

  • REFERENCES

  • 1 Walker PS. Biomechanics of joints. In: Diagnosis of Bone and Joint Disorders. Resnick D, Newayama G. (eds). Philadelphia: WB Saunders; 1981: 197-220.
    Search in Google Scholar
  • 2 Creed JE, Lumb WV, Smith KW. Stainless steel-vinylidene fluoride resin complete hip prosthesis - evaluation in the dog. Am J Vet Res 1971; 32: 757-65.
    PubMedSearch in Google Scholar
  • 3 Amstutz HC, Lurie L, Bullough B. Skeletal fixation with self-curing polymethylmethacrylate. Clin Orthop 1972; 84: 163-78.
    CrossrefPubMedSearch in Google Scholar
  • 4 Lewis RG, Jones JP. A clinical study of canine total hip arthroplasty. Vet Surg 1980; 9: 20-3.
    CrossrefPubMedSearch in Google Scholar
  • 5 Olmstead ML, Hohn RB, Turner TM. Technique for canine total hip replacement. Vet Surg 1981; 10: 44-50.
    CrossrefPubMedSearch in Google Scholar
  • 6 Olmstead ML, Hohn RB, Turner TM. A five-year study of 221 total hip replacements in the dog. J Am Vet Med Assoc 1983; 183 (02) 191-4.
    PubMedSearch in Google Scholar
  • 7 Parker RB, Bloomberg MS, Bitetto W. et al. Canine total hip arthroplasty: a clinical review of 20 cases. J Am Anim Hosp Assoc 1984; 20: 97-104.
    PubMedSearch in Google Scholar
  • 8 Olmstcad ML. Total hip replacement. Vet Clin North Am [Small Anim Pract] 1987; 17 (04) 943-54.
    CrossrefPubMedSearch in Google Scholar
  • 9 Beckenbaugh RD, Ilstrup DM. Total hip arthroplasty: a review of three hundred and thirty-three cases with long follow-up. J Bone Joint Surg 1978; 60-A (3): 306-13.
    PubMedSearch in Google Scholar
  • 10 Alexander JE, Archibald J, Cawley AJ. Pelvic fractures and their reduction in small animals. Mod Ved Pract 1962; 43: 41.
    PubMedSearch in Google Scholar
  • 11 Piermattei DL, Greeley RG. An Atlas of Surgical Approaches to the Bones of the Dog and Cat. Philadelphia: WB Saunders; 1979: 130-1.
    Search in Google Scholar
  • 12 Engelbrecht E, Siegel A. Complications following hip joint prosthesis. Radiologe 1989; 29 (10) 508-18.
    PubMedSearch in Google Scholar
  • 13 Marchesi DG, Ganz R. Total prosthesis implantation with added pelvic osteosyn-thesis. Orthopäde 1989; 18 (06) 483-8.
    PubMedSearch in Google Scholar
  • 14 Scott RD, Turner RH, Leitzes SM. et al. Femoral fractures in conjunction with total hip replacement. J Bone Joint Surg 1975; 57-A (4): 494-501.
    PubMedSearch in Google Scholar
  • 15 Mensch JS, Markoff KL, Roberts SB. et al. Experimental stabilization of segmental defects in the human femur. J Bone Joint Surg 1976; 58-A: 185.
    PubMedSearch in Google Scholar
  • 16 Harrington KD, Johnston JO, Turner RH. et al. The use of methylmethacrylate as an adjunct in the internal fixation of malignant neoplastic fractures. J Bone Joint Surg 1972; 54-A: 1665.
    PubMedSearch in Google Scholar
  • 17 Kuzma AB, Hunter B. A new technique for avian fracture repair using intramedullary polymethylmethacrylate and bone plate fixation. J Am Anim Hosp Assoc 1991; 27: 239-48.
    PubMedSearch in Google Scholar
  • 18 Hubbard MS. The effect of acrylic cement on the union of internally fixed experimental fractures of the femoral shaft in rabbits. Injury 1987; 11: 325-30.
    PubMedSearch in Google Scholar
  • 19 Matsuno T, Masuda T, Hasegawa I. et al. A long-term follow-up study of total hip replacement with bone graft. Correlations between roentgenographic measurement and hip mobility. Arch Orthop Trauma Surg 1989; 108 (01) 14-21.
    CrossrefPubMedSearch in Google Scholar
  • 20 Marks KE, Nelson CL, Lautenschlager EP. Antibiotic-Impregnated acrylic bone cement. J Bone Joint Surg 1976; 58-A (03) 358-64.
    PubMedSearch in Google Scholar