The use of an external skeletal traction device for distal fractures in the dog

Summary

Metacarpal and metatarsal fractures in 11 patients were treated ‘closed’ with a specially designed External Skeletal Fixation (ESF) frame with a walking bar and traction applied to the digits. Mediolateral angulation had improved postoperatively in 10 of the 11 patients. Craniocaudal angulation had improved in eight patients and could not be evaluated in three due to ESF frame superimposition. At follow-up, eight patients had a good clinical function, whereas three patients were still slightly lame. Only minor ESF-related complications were seen (pin loosening, pin tract infection, cerclage wire breakage and bending of the frame), which resolved without intervention after frame removal.

Keywords

Fractures - external skeletal fixation - dogs

• References

• 1 Piermattei DL, Flo GL. Fractures and other orthopaedic conditions of the carpus, metacarpus and phalanges. In: Piermattei DL, Flo GL. eds Philadelphia, USA: WB. Saunders; 1997: 344-394.
• 2 Piermattei Piermattei, Flo G. Fractures and other orthopedic Injuries of the tarsus, metatatarsus and phalanges. In: Piermattei DL, Flo GL. eds Philadelphia: WB. Saunders; 1997: 607-658.
• 3 Probst Probst, Millis D. Carpus and digits. In: Slatter D. ed Textbook of small animal surgery. Philadelphia: WB. Saunders; 1993: 1974-1988.
• 4 Welch J. The tarsus and metatarsus. In: Slatter D. ed Textbook of small animal surgery. Philadelphia: WB. Saunders; 2003: 2158-2169.
• 5 Muir Muir, Norris J. Metacarpal and metatarsal fractures in dogs. J Small Anim Pract 1997; 38: 344-348.
• 6 Kapatkin A, Howe-Smith R, Shofer F. Conservative versus surgical treatment of metacarpal and metatarsal fractures in dogs. Vet Comp Orthop Traumatol 2000; 13: 123-127.
• 7 Okumura M, Watanabe K, Kadosawa T. et al. Surgical salvage from comminuted metatarsal fracture using aweight-bearing pin-putty apparatus in a dog. Aust Vet J 2000; 78: 95-98.
• 8 De Smet L, Fabry G. Treatment of fracture-dislocations of the proximal interphalangeal joint with the ‘pins & rubbers’ traction system. Acta Orthop Belg 1998; 64: 229-232.
• 9 De Smet L, Boone P. Treatment of fracture-dislocation of the proximal interphalangeal joint using the Suzuki external fixator. J Orthop Trauma 2002; 16: 668-671.
• 10 de Soras X, de Mourgues P, Guinard D. et al. Pins and Rubbers Traction System. J Hand Surg [Br] 1997; 22: 730-735.
• 11 Suzuki Y, Matsunaga T, Sato S. et al. The pins and rubbers traction system for treatment of comminuted intraarticular fractures and fracture-dislocations in the hand. J Hand Surg [Br ] 1994; 19: 98-107.