Download PDF
Vet Comp Orthop Traumatol 2005; 18(02): 110-113
DOI: 10.1055/s-0038-1632939
Case Report
Schattauer GmbH

Fixation of a proximal femoral physeal fracture in a dog using a ventral approach and two Kirschner wires

T. G. Guerrero
1   Department of Small Animal Surgery, Vetsuisse Faculty, University of Zurich, Switzerland
,
D. Koch
1   Department of Small Animal Surgery, Vetsuisse Faculty, University of Zurich, Switzerland
,
P. M. Montavon
1   Department of Small Animal Surgery, Vetsuisse Faculty, University of Zurich, Switzerland
› Author Affiliations
Further Information

Publication History

Received 21 June 2004

Accepted 11 November 2004

Publication Date:
08 February 2018 (online)

Also available at
    Permissions and Reprints

Summary

A Salter-Harris type I proximal femoral physeal fracture was diagnosed in a six-month-old Norfolk Terrier. The fracture was reduced using a ventromedial approach to the hip joint and fixation with two small Kirschner wires applied from the joint surface and countersunk below the cartilage. The ventromedial approach minimizes soft-tissue and vascular damage and affords direct visualization of the fracture, facilitating reduction and fixation. The two-year postoperative outcome was considered satisfactory in this case.

Keywords

Femoral physeal fracture - ventral approach
 

  • References

  • 1 Ballinari U, Montavon PM, Huber Eet. al. Die Pectineusmyektomie, Iliopsoastenotomie und Neurektomie der Gelenkkapsel (PIN) als symptomatische Therapie bei der Coxarthose des Hundes. Schweiz Arch Tierheilk 1995; 137: 251-7.
    PubMedGoogle Scholar
  • 2 Culvenor JA, Black AP, Lorkin KF. et al. Repair of femoral capital physeal injuries in cats -14 cases. Vet Comp Orthop Traumatol 1996; 9: 182-5.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 DeCamp CE, Probst CW, Thomas MW. Internal fixation of femoral capital physeal injuries in dogs: 40 cases (1979-1987). JAmVet Med Assoc 1989; 194: 1750-4.
    PubMedGoogle Scholar
  • 4 Gibson KL, vanEe RT, Pechman RD. Femoral capital physeal fractures in dogs: 34 cases (1979-1989). J Am Vet Med Assoc 1991; 198: 886-90.
    PubMedGoogle Scholar
  • 5 Kaderly RE, Anderson WD, Anderson BG. Extraosseous vascular supply to the mature dog's coxofemoraljoint. Am JVet Res 1982; 43: 1208-14.
    PubMedGoogle Scholar
  • 6 Kuzma A, Sumner-Smith G, Miller C. et al. A technique for repair of femoral capital epiphyseal fractures in the dog. J Small Anim Pract 1989; 30: 444-8.
    CrossrefPubMedGoogle Scholar
  • 7 L'Eplattenier HF, Montavon PM. Avulsion fractures of the femoral head: internal fixation using a ventral approach to the hip joint. Vet Comp Orthop Traumatol 1997; 10: 23-6.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Lorinson D, Millis DL, Bright RM. Determination of proximal femoral epiphyseal depth for repair of physeal fractures in immature dogs. Vet Surg 1998; 27: 69-74.
    CrossrefPubMedGoogle Scholar
  • 9 Miller A, Anderson TJ. Complications of articular lag screw fixation of femoral capital epiphyseal separations. J Small Anim Pract 1993; 34: 9-12.
    CrossrefPubMedGoogle Scholar
  • 10 Piermattei DL. An atlas of surgical approaches to the bones and joints of the dog and cat, 3RD Edition. Philadelphia: WB Saunders; 1993. 230 57.
    Google Scholar
  • 11 Piermattei DL, Flo GL. Fractures of the Femur and Patella. In Piermattei DL, Flo GL. (eds) Handbook of small animal orthopedics and fracture repair. Philadelphia: WB Saunders; 1997: 489-93.
    Google Scholar
  • 12 Simpson DJ, Lewis DD. Fractures of the femur. In: Slatter DH. (ed) Textbook of Small Animal Surgery. Philadelphia, PA: Saunders; 2003: 2059-89.
    Google Scholar
  • 13 Tillson DM, McLaughlin RM, Roush JK. Evaluation of experimental proximal femoral physeal fractures repaired with two cortical screws placed from the articular surface. Vet Comp Orthop Traumatol 1994; 7: 140-7.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Tillson DM, McLaughlin RM, Roush JK. Fractures of the proximal femoral physis in dogs. Compend Contin Educ Pract Vet 1996; 18: 1164-82.
    PubMedGoogle Scholar