Kedilerde Meydana Gelen Ilium Kırıklarının Cerrahi Sağaltım Sonuçlarının Klinik ve Radyolojik Değerlendirmesi: Retrospektif Çalışma
Öz
Pelvis kırıkları genellikle trafik kazaları gibi ciddi travmaların sonucunda ortaya çıkar. İlium kırıkları pelvis kırıklarının %18–46’sını meydana getirmektedir. İlium kırıklarının fiksasyonu için Kirschner telleri, vidalar, interfragmenter serklaj, plak uygulaması veya bu tekniklerin kombinasyonları önerilmiştir. Kemik plak onarımı, cerrahi tedavinin en yaygın ve en başarılı yöntemidir. Çalışma materyalini arka ekstremitelerini kullanamama şikâyetiyle getirilen farklı ırk, yaş ve cinsiyetteki 23 kedi oluşturmuştur. Tespit edilen ilium kırıklarının 8’i serklaj teli, 3’ü intramedullar pin, 8’i plak, 2’si intramedullar pin ve serklaj teli kombinasyonu ve 2’si plak ve serklaj teli kombinasyonu kullanılarak tedavi edilmiştir. Olgular postoperatif 10. ve 30. günde kontrole çağırılmıştır. Postoperatif 30. gün yapılan kontrollerde olguların tamamında klinik iyileşme sağlandığı görülmüştür. Çalışmadan elde edilen veriler dikkate alındığında, kedilerde meydana gelen ilium kırıklarında düşük komplikasyon, yüksek başarı oranı ve hızlı bir klinik iyileşme sağlayabilmesi nedeniyle doğru teknikle, dikkatle yapılan cerrahi sağaltımın faydalı olabileceği sonucuna varılmıştır. Bu çalışmada kedilerde meydana gelen ilium kırıklarının cerrahi sağaltımının klinik ve radyolojik değerlendirme sonuçlarının klinisyen veteriner hekimlerle paylaşılması amaçlanmıştır.
Kaynakça
- Arıcan, M., Zamirbekova, N., Uzunlu, E., Ozdil, B., & Gümüş, F. (2022). A Comparison of Clinical and Radiological Outcomes of Different Anatomical Regions Plate osteosynthesis in Cats with Body of Ilium Fractures. Journal of the Hellenic Veterinary Medical Society, 73(2), 3979–3988. https://doi.org/10.12681/jhvms.25653
- Bouabdallah, R., Meghiref, F., Azzag, N., Benmohand, C., Zenad, W., & Rebouh, M. (2020). Conservative management of pelvic fractures in dogs and cats in Algiers: Incidence and long-term clinical outcomes. Veterinary World, 13(11), 2416-2421. https://doi.org/10.14202/vetworld.2020.2416-2421.
- Denny, H. R., & Butterworth, S. J. (2000). A Guide to Canine and Feline Orthopedic Surgery, 4th ed. Oxford: Blackwell Sci, 441–454, ABD.
- Grierson, J. (2019). Dealing with pelvic fractures in cats. In practice Companion AnimPrac, 41, 106-14. doi:10.1136/inp.l1203
- Hamilton, M.H., Evans, D.A., & Langley-Hobbs, S.J. (2009). Feline ilial fractures: assessment of screw loosening and pelvic canal narrowing after lateral plating. Vet Surg, 38, 326-333. doi: 10.1111/j.1532-950X.2009.00500.x Harasen G. Pelvic fractures. Can Vet J. 2007 Apr;48(4):427-8. PMID: 17494373; PMCID: PMC1831511.
- Meeson, R., & Cor, S. (2011). Management of pelvic trauma. Neurological damage, urinary tractdisruption and pelvic fractures. Journal of Feline Medicine and Surgery, 13, 347–361. https://doi.org/10.1016/j.jfms.2011.03.011.
- Meeson, R.L., & Geddes, A.T. (2017). Management and long term outcome of pelvic fractures: a retrospectivestudy of 43 cats. J Felıne Med Surg, 19, 36-41. doi:10.1177/1098612X15606958
- Miller, A. (2002). Decision making in the management of pelvic fractures in small animals. In practice Comp AnımPract, 24, 54-61. doi: 10.1136/inpract.24.2.54
- Sağlam, M., & Yükse Çalık, E. (2016). Clinical and radiological evoluation of traumatic lesions on the pelvis and hip joint in cats. Vet Hekim Der Derg, 87 (1), 34-43.
- Schmierer, P.A., Kircher, P.R., Hartnack, S., & Knell, S.C. (2015). Screw loosening and pelvic canal narrowing after lateral plating of feline ilial fractures with locking and nonlocking plates. Vet Surg, 44, 900-904. doi: 10.1111/vsu.12367
- Sorrel, J., Langley-Hobbs, R. L., Meeson, M. H., Hamilton, H.R., & Karla, L. (2009). Feline Ilial Fractures: A Prospective Study of Dorsal Plating and Comparison with Lateral Plating. Veterinary Surgery, 38, 334–342. doi:10.1111/j.1532-950X.2009.00501.x
- Yurtal, Z., Deveci, M. Z. Y., Alakuş, İ., Kırgız, Ö., Alakuş, H., İşler, C. T., & Altuğ, M. E. (2022). Prevalence of pelvic fractures in cat and dogs: A retrospective study in 183 cases (2016-2020). J Adv VetBio Sci Tech, 7 (1), 109-114. https://doi.org/10.31797/vetbio.981133
Clinical and Radiological Evaluation of the Surgical Treatment Outcomes of Ilium Fractures in Cats: A Retrospective Study
Öz
Pelvic fractures generally occur as a result of severe trauma, such as traffic accidents. Iliac fractures account for 18–46% of all pelvic fractures. For the fixation of iliac fractures, the use of Kirschner wires, screws, interfragmentary cerclage, plate application, or combinations of these techniques has been recommended. Among these, bone plate repair is considered the most common and successful surgical method. The study material consisted of 23 cats of various breeds, ages, and sexes, presented with the complaint of inability to use their hind limbs. The identified lesions were treated using cerclage wire in 8 cases, intramedullary pinning in 3 cases, plating in 8 cases, intramedullary pinning combined with cerclage wire in 2 cases, and plating combined with cerclage wire in 2 cases. Postoperative evaluations were conducted on days 10 and 30. At the postoperative 30-day follow-up, clinical improvement was observed in all cases. Based on the data obtained in this study, it was concluded that carefully performed surgical treatment, when applied with the correct technique, can be beneficial in feline iliac fractures by providing low complication rates, high success rates, and rapid clinical recovery. This study aimed to share the clinical and radiological evaluation results of surgical treatment of iliac fractures in cats with veterinary clinicians.
Kaynakça
- Arıcan, M., Zamirbekova, N., Uzunlu, E., Ozdil, B., & Gümüş, F. (2022). A Comparison of Clinical and Radiological Outcomes of Different Anatomical Regions Plate osteosynthesis in Cats with Body of Ilium Fractures. Journal of the Hellenic Veterinary Medical Society, 73(2), 3979–3988. https://doi.org/10.12681/jhvms.25653
- Bouabdallah, R., Meghiref, F., Azzag, N., Benmohand, C., Zenad, W., & Rebouh, M. (2020). Conservative management of pelvic fractures in dogs and cats in Algiers: Incidence and long-term clinical outcomes. Veterinary World, 13(11), 2416-2421. https://doi.org/10.14202/vetworld.2020.2416-2421.
- Denny, H. R., & Butterworth, S. J. (2000). A Guide to Canine and Feline Orthopedic Surgery, 4th ed. Oxford: Blackwell Sci, 441–454, ABD.
- Grierson, J. (2019). Dealing with pelvic fractures in cats. In practice Companion AnimPrac, 41, 106-14. doi:10.1136/inp.l1203
- Hamilton, M.H., Evans, D.A., & Langley-Hobbs, S.J. (2009). Feline ilial fractures: assessment of screw loosening and pelvic canal narrowing after lateral plating. Vet Surg, 38, 326-333. doi: 10.1111/j.1532-950X.2009.00500.x Harasen G. Pelvic fractures. Can Vet J. 2007 Apr;48(4):427-8. PMID: 17494373; PMCID: PMC1831511.
- Meeson, R., & Cor, S. (2011). Management of pelvic trauma. Neurological damage, urinary tractdisruption and pelvic fractures. Journal of Feline Medicine and Surgery, 13, 347–361. https://doi.org/10.1016/j.jfms.2011.03.011.
- Meeson, R.L., & Geddes, A.T. (2017). Management and long term outcome of pelvic fractures: a retrospectivestudy of 43 cats. J Felıne Med Surg, 19, 36-41. doi:10.1177/1098612X15606958
- Miller, A. (2002). Decision making in the management of pelvic fractures in small animals. In practice Comp AnımPract, 24, 54-61. doi: 10.1136/inpract.24.2.54
- Sağlam, M., & Yükse Çalık, E. (2016). Clinical and radiological evoluation of traumatic lesions on the pelvis and hip joint in cats. Vet Hekim Der Derg, 87 (1), 34-43.
- Schmierer, P.A., Kircher, P.R., Hartnack, S., & Knell, S.C. (2015). Screw loosening and pelvic canal narrowing after lateral plating of feline ilial fractures with locking and nonlocking plates. Vet Surg, 44, 900-904. doi: 10.1111/vsu.12367
- Sorrel, J., Langley-Hobbs, R. L., Meeson, M. H., Hamilton, H.R., & Karla, L. (2009). Feline Ilial Fractures: A Prospective Study of Dorsal Plating and Comparison with Lateral Plating. Veterinary Surgery, 38, 334–342. doi:10.1111/j.1532-950X.2009.00501.x
- Yurtal, Z., Deveci, M. Z. Y., Alakuş, İ., Kırgız, Ö., Alakuş, H., İşler, C. T., & Altuğ, M. E. (2022). Prevalence of pelvic fractures in cat and dogs: A retrospective study in 183 cases (2016-2020). J Adv VetBio Sci Tech, 7 (1), 109-114. https://doi.org/10.31797/vetbio.981133
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Veteriner Cerrahi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Gönderilme Tarihi | 8 Eylül 2025 |
| Kabul Tarihi | 13 Aralık 2025 |
| Yayımlanma Tarihi | 29 Aralık 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 7 Sayı: 2 |