Defect nonunion of a metatarsal bone fracture in a cow

M. Raghunath; N. Singh; T. Singh; A. Gopinathan; J. Mohindroo; K. Atri

doi:10.3415/VCOT-12-02-0020

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 2013; 26(03): 233-237
DOI: 10.3415/VCOT-12-02-0020

Case Report

Schattauer GmbH

Defect nonunion of a metatarsal bone fracture in a cow

Successful management with bone plating and autogenous cancellous bone graft

Authors

M. Raghunath

¹Department of Surgery and Radiology, College of Veterinary Science, Guru Angad Dev Veterinary and Animal Sciences University (GADVASU), Ludhiana, Punjab, India
N. Singh

²Department of Veterinary and Animal Husbandary Extension Education, Guru Angad Dev Veterinary and Animal Sciences University (GADVASU), Ludhiana Punjab, India
T. Singh

¹Department of Surgery and Radiology, College of Veterinary Science, Guru Angad Dev Veterinary and Animal Sciences University (GADVASU), Ludhiana, Punjab, India
A. Gopinathan

³Division of Surgery, Indian Veterinary Research Institute, Izatnagar, Bareily, U.P. India
J. Mohindroo

¹Department of Surgery and Radiology, College of Veterinary Science, Guru Angad Dev Veterinary and Animal Sciences University (GADVASU), Ludhiana, Punjab, India
K. Atri

¹Department of Surgery and Radiology, College of Veterinary Science, Guru Angad Dev Veterinary and Animal Sciences University (GADVASU), Ludhiana, Punjab, India

Abstract

Summary

A two-and-half-year-old cow was presented with a defect nonunion of the right metatarsal III/IV bone following a severely comminuted open fracture two months previously. The animal underwent open fixation using a 4.5 mm, broad, 10-hole, dynamic compression plate and autogenous cancellous bone graft collected from the contralateral iliac shaft. The animal started partial weight bearing after the third postoperative day and resumed complete weight bearing after the 10th day. Fracture healing was complete and the implants were removed after the 120th postoperative day. Stable fixation by means of a bone plate in conjunction with a cancellous bone graft facilitated complete healing and restoration of the bone column of the defect and the metatarsal fracture. The animal made a complete recovery.

Keywords

Cow - Defect nonunion - metatarsal III/IV fracture - bone plating - cancellous graft

Full Text

References

References
1 Conzemius M, Swainson S. Fracture fixation with screws and bone plates. Vet Clin N Am Small 1999; 29: 1117-1133.
2 Millis DL, Martinez SA. Bone grafts. In: Slatter D. editor. Textbook of Small Animal Surgery. Philadelphia: W.B. Saunders Company; 2003. p. 1875-1891.
3 Vertenten G, Gasthays F, Cornelissen M. et al. Enhancing bone healing and regeneration: Present and future perspectives in veterinary orthopaedics. Vet Comp Orthop Traumatol 2010; 23: 153-162.
4 Stevens A, Lowe JS. Bone and Fracture Healing. In: Pathology. Amsterdam: Mosby / Elsevier Health Sciences; 1995. p. 356-383.
5 Nunamaker DM. Orthopedic implant failure. In: Nixon AJ. editor. Equine fracture repair. Philadelphia: Saunders; 1996. p. 350-354.
6 Vachon A, De Bowes RM. Internal fixation of a proximal metatarsal fracture in a calf. J Am Vet Med Assoc 1987; 191: 1465-1467.
7 Gamper S, Steiner A, Nuss K. et al. Clinical evaluation of the CRIF 4.5/5.5 system for long bone fracture repair in cattle. Vet Surg 2006; 35: 361-368.
8 Nixon AJ. General considerations in selecting cases for fracture repair. In: Nixon AJ. editor. Equine fracture repair. Philadelphia: Saunders; 1996. p. 30-35.
9 Steiner A, Iselin U, Auer JA. et al. Shaft fractures of metacarpus and metatarsus in cattle. Vet Comp Orthop Traumatol 1993; 6: 138-145.
10 Attania M, Kadiyalas Fitzgerald K. et al. Cell based approaches for bone graft substitutes. In: Laurencin CT. editor. Bone graft Substitutes. West Conshohocken (PA, USA): ASTM International; 2001. p. 126-141.
11 Betz SD, Schimandle JH, Hutton WC. The use of an osteoinductive growth factor for lumbar spinal fusion. Part I. Bilology of spinal fusion. Spine 1995; 20: 2626-2632.
12 Fleming JE, Cornell CN, Muschler GE. Bone cells and matrices in orthopaedic tissue engineering. Orthop Clin North Am 2000; 31: 357-374.
13 Boero MJ, Schneider JE, Mosier JE. et al. Evaluation of the tibia as a source of autogenous cancellous bone in the horse. Vet Surg 1989; 18: 322-327.
14 Harriss FK, Galuppo LD, Decock HE. et al. Evaluation of a technique for collection of cancellous bone graft from the proximal humerus in horses. Vet Surg 2004; 33: 293-300.
15 Alexander J. Bone grafting. Vet Clin N Am Small 1987; 17: 811-819.
16 Damien CJ, Parsons JR. Bone graft and bone graft substitutes: A review of current technology and applications. J Applied Biomater 1991; 2: 187-208.
17 Denny HR, Sridhar B, Weaver BMQ. et al. The management of bovine fractures: A review of 59 cases. Vet Rec 1988; 123: 289-295.