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R esearch
(Published
online:
18-12-2015)
8.
Feasibility of C-arm guided closed
intramedullary pinning for the stabilization of canine long bone
fractures -
Anupreet Kaur, Ashwani Kumar, Deepesh Kumar, Jitender Mohindroo
and Narinder Singh Saini
Veterinary World, 8(12): 1410-1415
doi:
10.14202/vetworld.2015.1410-1415
Anupreet Kaur:
Department of Veterinary Surgery and Radiology, College of
Veterinary Science, Guru Angad Dev Veterinary and Animal
Sciences University, Ludhiana - 141 004, Punjab, India;
anupreettoor@hotmail.com
Ashwani Kumar:
Department of Veterinary Surgery and Radiology, College of
Veterinary Science, Guru Angad Dev Veterinary and Animal
Sciences University, Ludhiana - 141 004, Punjab, India;
drashwanikumar@rediffmail.com
Deepesh Kumar:
Department of Veterinary Surgery and Radiology, College of
Veterinary Science, Guru Angad Dev Veterinary and Animal
Sciences University, Ludhiana - 141 004, Punjab, India;
vetdeepesh@gmail.com
Jitender Mohindroo:
Department of Veterinary Surgery and Radiology, College of
Veterinary Science, Guru Angad Dev Veterinary and Animal
Sciences University, Ludhiana - 141 004, Punjab, India;
jmohindroo@yahoo.co.in
Narinder Singh Saini:
Department of Veterinary Surgery and Radiology, College of
Veterinary Science, Guru Angad Dev Veterinary and Animal
Sciences University, Ludhiana - 141 004, Punjab, India;
nssaini61@rediffmail.com
Received: 20-07-2015, Revised: 02-11-2015, Accepted: 12-11-2015,
Pulished online: 18-12-2015
Corresponding author:
Ashwani Kumar, e-mail: drashwanikumar@rediffmail.com
Citation:
Kaur A, Kumar A, Kumar D, Mohindroo J, Saini NS (2015)
Feasibility of C-arm guided closed intramedullary pinning for
the stabilization of canine long bone fractures,
Veterinary
World 8(12):
1410-1415.
Abstract
Aim:
To evaluate the feasibility of
C-arm guided closed intramedullary pinning (simple Steinmann and
end threaded) techniques for the stabilization of various canine
long bone fractures.
Materials and Methods:
The present study was
conducted on 19 dogs with long bone fractures which were
stabilized using simple Steinmann (Group I; n=6) and end
threaded (Group II; n=13) pinning under C-arm guidance.
Signalment, history of trauma, clinical examination, and
hematobiochemical findings were recorded at the time of
presentation. Radiography of the affected limb was carried out
in two views to determine type and site of the fracture.
Treatment of all the fractures was attempted using simple
Steinman and end threaded pinning under the C-arm guidance. The
success and failure of the closed technique were correlated with
age, site, and type of fractures.
Results:
The mean body weight and age of
the dogs were 18.53±2.18 kg and 21.58±5.85 months, respectively.
Early presented cases at a mean day of 2.84±0.54 were included.
Out of 19 cases, it was possible to place implant successfully
in 10 cases (success rate 52.63%) only. The remaining 9 cases
had serious intraoperative complications like a misdirection of
the pin after engaging the proximal fragment (n=3), missing the
proximal fragment completely, and formation of the false tract
(n=6). The majority of these complications were associated with
younger age and proximal or distal third oblique fractures. High
success rate of C-arm guided closed pinning was observed in
midshaft fractures (75%) and transverse fractures (77.78%) in
dogs of more than 1 year of age (77.78%). Simple Steinmann
pinning was better feasible in a closed manner with a high
success rate (66.70%) but also had implant related
complications. Although, C-arm guided end threaded pinning was
less (46.15%) successful, slightly tedious and time-consuming
but had better implant stability than that of simple
intramedullary pinning.
Conclusions:
From the present study, it was
concluded that C-arm guided closed pinning is recommended in
transverse and midshaft fractures of the long bones in dogs
older than 1 year of age. Furthermore, there is need to improve
traction devices for enhancing the success of C-arm guided
intramedullary pinning in dogs.
Keywords:
C-arm guided pinning, closed pinning, dog, end threaded pin,
fracture.
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