Closed reduction of humeral condylar fracture and elbow luxation in a dog

Closed reduction of humeral condylar fracture and elbow luxation in a dog

ABSTRACT

Fractures of the distal humerus that involving the condyles often requires extensive surgical approach for treatment, leading to a prolonged recovery time. In a West Highland White Terrier dog two years old, with a fracture of the lateral humeral condyle portion and elbow luxation, was performed a closed technique for luxation reduction, fracture reduction was performed by digital pressure and percutaneous osteosynthesis by introduction of a Kirschner wire of 2 mm diameter, accompanied by Robert-Jones bandage modified for 6 weeks. Limb function was recovered in the immediate postoperative, the wire was removed six weeks after, non-was observed postoperative complications, and full functional recovery of the limb was clinically evident. This suggests that this technique could be an option in cases of condylar fractures in small-sized dogs.

1. Johnson JA, Austin C, Breur GJ. Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. Vet Comp Orthop Traumatol 1994; 7(2):56-69.
3. 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(2):73-77. http://dx.doi.org/10.1111/j.1532-950X.1983.tb00710.x
5. Simpson A M. Fractures of the humerus. Clin Tech Small Anim Pract 2004; 19(3):120-127. http://dx.doi.org/10.1053/j.ctsap.2004.09.004
7. 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. Vet Comp Orthop Traumatol 2003; 16(1):1-5.
9. Beale, B. Orthopedic clinical techniques femur fracture repair. 2004. Clin Tech Small Anim Pract 2004; 19(3):134-150.
10. http://dx.doi.org/10.1053/j.ctsap.2004.09.006
12. Bordelon JT, Reaugh HF, Rochat MC. Traumatic luxations of the apendicular skeleton. Vet Clin Small 2005; 35 (5):1169-1194.
13. http://dx.doi.org/10.1016/j.cvsm.2005.05.007
15. Moores A. Humeral condylar fractures and incomplete ossification of the humeral condyle in dogs. In Practice 2006; 28(7):391-397. http://dx.doi.org/10.1136/inpract.28.7.391
17. Schatzer J. The rationale of operative fracture care. Third edition, Springer Berlin Heidelberg New York – USA. 2005; p. 34-35.
19. Kim S E, Hudson C C, & Pozzi A. Percutaneous Pinning for Fracture Repair in Dogs and Cats. 2012. Vet Clin North Am Small Anim Pract 2012; 42(5):963-974. http://dx.doi.org/10.1016/j.cvsm.2012.07.002
21. Horstman CL, Beale BS, Conzemius MG, Evans R. Biological Osteosynthesis Versus Traditional Anatomic Reconstruction of 20 Long-Bone Fractures Using an Interlocking Nail: 1994–2001. Vet Surg 2004; 33(3):232-237. http://dx.doi.org/10.1111/j.1532-950X.2004.04034.x
23. McKee W M, Macias C & Innes J F. Bilateral fixation of Y-T humeral condyle fractures via medial and lateral approaches in 29 dogs. J Small Anim Prac 2005; 46(5):217-226.
24. http://dx.doi.org/10.1111/j.1748-5827.2005.tb00313.x
26. Broos PLO, Sermon A. From unstable internal fixation to biological osteosynthesis. A historical overview of operative fracture treatment. Acta Chir Belg 2004; 104(4):396-400.
28. Kolar P, Schmidt-Bleek K, Schell H, Gaber T, Toben D, Schmidmaier G, Perka C., et al. The early fracture hematoma and its potential role in fracture healing. Tissue Eng Part B Rev 2010; 16(4):427-434. http://dx.doi.org/10.1089/ten.teb.2009.0687
30. Lamoreaux Hesbach A. Techniques for objective outcome assessment. Clin Tech Small Anim Pract 2007; 22(4):146-154.
31. http://dx.doi.org/10.1053/j.ctsap.2007.09.002
33. Millis D & Levine D. Appendix 2. Joint motion and ranges. 2nd edition. En: Canine rehabilitation and physical therapy. Philadelphia, PA: Elsevier. 2014