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Year 2008 - Volume 28, Number 04
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Avaliação do uso de haste bloqueada e bloqueio transcortical no reparo de fraturas diafisárias de fêmur em felino, p.201-206
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ABSTRACT.- Romano L., Ferrígno C.R.A., Ferraz,V.C.M. Della Nina M., Ito K.C. 2008. [Evaluation of the use of interlocking nail and transcortical blockade for the repair of diaphyseal fractures of the femur in cats.] Avaliação do uso de haste bloqueada e bloqueio transcortical no reparo de fraturas diafisárias de fêmur em felinos. Pesquisa Veterinária Brasileira 28(4):201-206. Departamento de Cirurgia do Hospital Veterinário, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Avenida Prof. Dr. Orlando Marques de Paiva 87, São Paulo, SP 05508-270, Brazil. E-mail: lromano@usp.br
Interlocking nails allow rigid fracture stabilization and present biomechanical advantages when compared to other immobilization techniques. It acts along the central mechanical axis of the bone and preserves biological concept standards for osteosynthesis. The use of interlocking nail in cats is limited because the intramedullary space is relatively small for the available nail sizes. We reported 10 cases of cats that had simple or multiple closed fractures of the femoral diaphysis. The animals weighed 3.5 to 5 kg , which allowed using nails of 4.0mm and 4.7mm in diameter. For the nail insertion, retrograde and normograde routs were used, and four 2mm titanium screws were used to lock all the perforations. No trans-surgical complication occurred, however, due to a new trauma, one of the animals suffered femoral neck fracture and transversal distal fracture to the nail, three days after surgery. Radiographies were made up to four months after surgery, and in most cases secondary bone formation was seen, showing bone consolidation in 61-89 days, excluding the animal who suffered new trauma, who presented bone healing in 150 days. Clinically, occasional lameness occurred; however, except for the animal that had new trauma, all animals initiated adequate limb support in 3 to 8 days after surgery. In conclusion, the use of 4.0mm and 4.7mm interlocking nails in felines was adequate, with bone healing in all cases, and also return of good limb function after surgery. |
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