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CC BY 4.0 · VCOT Open 2022; 05(02): e57-e64
DOI: 10.1055/s-0042-1750037
Clinical Communication

Minimally Invasive Reduction and Stabilization of Fractures of the Humeral Condyle by Skeletal Traction in Dogs: 18 Cases

Davide Benedini
1   Ambulatorio Veterinario Dr. Lelio Benedini, Arzignano, Vicenza, Italy
,
Gian Luca Rovesti
2   Clinica Veterinaria M. E. Miller, Cavriago, Reggio Emilia, Italy
,
Fabio Barbieri
3   Freelance, Parma, Italy
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Abstract

Closed reduction or limited open reduction in conjunction with internal or external fixation has been recommended as the preferred treatment for many types of fractures, but this technique has rarely been recommended for articular fractures because of the need for anatomic alignment of articular surfaces. However, the proposed benefits of closed reduction should be applicable to articular fractures if appropriate reduction and implant placement can be achieved. The aim of this study was to retrospectively evaluate a surgical technique for minimally invasive reduction and stabilization of fractures of the humeral condyle by means of intraoperative traction applied to the ulna under fluoroscopic guidance. Nineteen fractures of the humeral condyle in eighteen dogs were reduced by intraoperative osteotaxis applied by traction of the ulna, minimally invasive approach to the epicondyle and fracture stabilization under fluoroscopic guidance. Postoperative reduction was considered good or excellent in most fractures. This technique can be considered as a potential option for the treatment of condylar fractures, allowing for minimally invasive reduction and stabilization, thus avoiding the need for surgical exposure of the elbow joint.

Keywords

fracture of the humeral condyle - minimally invasive stabilization - skeletal traction - dogs


Publication History

Received: 18 August 2021

Accepted: 09 April 2022

Article published online:
13 July 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Phillips IR. A survey of bone fractures in the dog and cat. J Small Anim Pract 1979; 20 (11) 661-674
    CrossrefPubMedSearch in Google Scholar
  • 2 Bardet JF, Hohn RB, Rudy RL, Olmstead ML. Fractures of the humerus in dogs and cats: a retrospective study of 130 cases. Vet Surg 1983; 12: 73-77
    CrossrefPubMedSearch in Google Scholar
  • 3 Denny HR. Condylar fractures of the humerus in the dog: a review of 133 cases. J Small Anim Pract 1983; 24: 185-197
    Search in Google Scholar
  • 4 Rørvik AM. Risk factors for humeral condylar fractures in the dog: a retrospective study. J Small Anim Pract 1993; 34: 277-282
    Search in Google Scholar
  • 5 Vannini R, Smeak DD, Olmstead ML. Evaluation of surgical repair of 135 distal humeral fractures in dogs and cats. J Am Anim Hosp Assoc 1988; 24: 537-545
    PubMedSearch in Google Scholar
  • 6 Guille AE, Lewis DD, Anderson TP. et al. Evaluation of surgical repair of humeral condylar fractures using self-compressing orthofix pins in 23 dogs. Vet Surg 2004; 33 (04) 314-322
    CrossrefPubMedSearch in Google Scholar
  • 7 Sumner-Smith G. Observations on epiphyseal fusion of the canine appendicular skeleton. J Small Anim Pract 1966; 7 (04) 303-311
    CrossrefPubMedSearch in Google Scholar
  • 8 Vannini R, Olmstead ML, Smeak DD. Humeral condylar fractures caused by minor trauma in 20 adult dogs. J Am Anim Hosp Assoc 1988; 24: 335-362
    PubMedSearch in Google Scholar
  • 9 Marcellin-Little DJ, DeYoung DJ, Ferris KK, Berry CM. Incomplete ossification of the humeral condyle in spaniels. Vet Surg 1994; 23 (06) 475-487
    Search in Google Scholar
  • 10 Tomlinson JL. Fractures of the Humerus. In: Slatter D. ed. Textbook of Small Animal Surgery. 3rd edition. Philadelphia: WB Saunders; 2002: 1905-1918
    Search in Google Scholar
  • 11 Hayes GM, Radke H, Langley-Hobbs SJ. Salter-Harris type III fractures of the distal humerus in two dogs. Vet Comp Orthop Traumatol 2011; 24 (06) 478-482
    Thieme ConnectPubMedSearch in Google Scholar
  • 12 Piermattei DL, Flo GL. Fractures of the humerus. In: Brinker, Piermattei, and Flo's Handbook of Small Animal Orthopedics and Fracture Repair. 3rd edition. Philadelphia, PA: Saunders; 1997:261–287
    PubMed
  • 13 Perry KL, Bruce M, Woods S, Davies C, Heaps LA, Arthurs GI. Effect of fixation method on postoperative complication rates after surgical stabilization of lateral humeral condylar fractures in dogs. Vet Surg 2015; 44 (02) 246-255
    CrossrefPubMedSearch in Google Scholar
  • 14 Morshead D, Stambaugh JE. Kirschner wire fixation of lateral humeral condylar fractures in small dogs. Vet Surg 1984; 13: 1-5
    CrossrefPubMedSearch in Google Scholar
  • 15 Cinti F, Pisani G, Vezzoni L, Peirone B, Vezzoni A. Kirschner wire fixation of Salter-Harris type IV fracture of the lateral aspect of the humeral condyle in growing dogs. A retrospective study of 35 fractures. Vet Comp Orthop Traumatol 2017; 30 (01) 62-68
    Thieme ConnectPubMedSearch in Google Scholar
  • 16 Herron MR. Lateral condylar fracture of the humerus: a method of closed repair. Canine Pract 1975; 2: 30-34
    PubMedSearch in Google Scholar
  • 17 Cook JL, Tomlinson JL, Reed AL. Fluoroscopically guided closed reduction and internal fixation of fractures of the lateral portion of the humeral condyle: prospective clinical study of the technique and results in ten dogs. Vet Surg 1999; 28 (05) 315-321
    CrossrefPubMedSearch in Google Scholar
  • 18 Gordon WJ, Besancon MF, Conzemius MG, Miles KG, Kapatkin AS, Culp WTN. Frequency of post-traumatic osteoarthritis in dogs after repair of a humeral condylar fracture. Veterinary and Comparative Orthopaedics and Traumatology 2003; 16: 1-5
    Thieme ConnectPubMedSearch in Google Scholar
  • 19 Rovesti GL, Margini A, Cappellari F, Peirone B. Intraoperative skeletal traction in the dog: a cadaveric study. Vet Comp Orthop Traumatol 2006; 19 (01) 9-13
    Thieme ConnectPubMedSearch in Google Scholar
  • 20 Rovesti GL, Bosio A, Marcellin-Little DJ. Management of 49 antebrachial and crural fractures in dogs using circular external fixators. J Small Anim Pract 2007; 48 (04) 194-200
    CrossrefPubMedSearch in Google Scholar
  • 21 Maritato KC, Rovesti GL. Minimally invasive osteosynthesis techniques for humerus fractures. Vet Clin North Am Small Anim Pract 2020; 50 (01) 123-134
    CrossrefPubMedSearch in Google Scholar
  • 22 Tartaglia N, Vicenti G, Carrozzo M. et al. The treatment of distal third humeral diaphyseal fractures: is there still a place for the external fixation?. Musculoskelet Surg 2016; 100 (Suppl. 01) 45-51
    CrossrefPubMedSearch in Google Scholar
  • 23 Sano K, Hashimoto T, Kimura K, Ozeki S. Percutaneous flexible double pinning (Py-Desmanet's procedure) for pediatric distal radius fractures. Hand (N Y) 2013; 8 (04) 392-396
    CrossrefPubMedSearch in Google Scholar
  • 24 Morgan ODE, Reetz JA, Brown DC, Tucker SM, Mayhew PD. Complication rate, outcome, and risk factors associated with surgical repair of fractures of the lateral aspect of the humeral condyle in dogs. Vet Comp Orthop Traumatol 2008; 21: 400-405
    Thieme ConnectPubMedSearch in Google Scholar
  • 25 Carmichael S. Fractures in skeletally immature animals. In: Coughlan AR, Miller A. eds. Manual of Small Animal Fracture Repair and Management. 1st edition. Cheltenham: British Small Animal Veterinary Association; 1998: 103-111
    Search in Google Scholar
  • 26 Jackson DA. Management of humeral fractures. In: Bojrad MJ. ed. Current Techniques in Small Animal Surgery. 3rd edition. Philadelphia, PA: Lea & Febiger; 1990: 766-769
    Search in Google Scholar
  • 27 Karen L. Perry, Principles of articular fracture management. Companion Anim 2018; 23 (01)
    CrossrefPubMedSearch in Google Scholar
  • 28 Langley-Hobbs SJ. Fractures of the humerus. In: Tobias KM, Jhonston SA. eds. Veterinary Surgery Small Animal. Volume 1. Oxford: Elsevier; 2012: 709-720
    Search in Google Scholar
  • 29 Tomlinson JL, Constantinescu GM. Fixation of lateral humeral condylar fractures with multiple Kirschner wires. In: Bojarab MJ, Slocum B, Ellison GW. eds. Current techniques in small animal surgery. 4th edition. Baltimore: Williams & Wilkins; 1997: 1019-1021
    Search in Google Scholar
  • 30 Li WC, Xu RJ. Comparison of Kirschner wires and AO cannulated screw internal fixation for displaced lateral humeral condyle fracture in children. Int Orthop 2012; 36 (06) 1261-1266
    Search in Google Scholar