Kedilerde Tarsocrural Eklem Çıkıklarının Talo-tibial Kirschner Teli Uygulaması ile Sağaltımının Sonuçları 41 Olgu (2015-2017)
Öz
Artrodez, eklem çıkıklarında tercih edilebilen kurtarıcı bir cerrahi seçenektir. Küçük hayvan pratiğinde en çok tarsal ve karpal eklemler için artrodez uygulamasına başvurulmaktadır. Uygun bir artrodez gerçekleştirebilmek için çeşitli operasyon teknikleri tanımlanmıştır. Tarsal luksasyonlarda parsiyel artrodez uygulaması ile fonksiyonel bir açıda kompresyon, rijid fiksasyon sağlanabilmektedir. Çalışmayı 2015-2017 yılları arasında İstanbul Büyükşehir Belediyesi (İBB) Veteriner Hizmetleri Müdürlüğü Cebeci Sahipsiz Hayvan Geçici Bakımevine trafik kazalı halde getirilen ve sokakta yaşayan, tarsocrural luksasyonlu 41 kedi oluşturdu. Hastaların tamamına sadece tarsocrural eklem sabitlenerek parsiyel artrodez uygulaması yapıldı. Çalışmanın sonucunda özel ekipman ve şartlara sahip olunamadığı durumlarda talusun medialinden tibianın medullasında gönderilen tek bir kirschner teli ile yeterli bir parsiyel artrodez sağlanabildiği görüldü. Sonuç olarak hastaların fonksiyonel bir basışa daha düşük postoperatif komplikasyon oranıyla erişilebildiği görüldü.
Anahtar Kelimeler
Kaynakça
- Denny HR, Butterworth SJ (2000) A Guide to Canine and Feline Orthopedic Surgery 4 th ed. London: Blackwell Sci pp 415-419.
- Diamond DW, Besso J, Boudrieau RJ (1999) Evaluation of Joint Stabilization for teratment of shearing injuries of the Tarsus in 20 dogs. J Am Anim Hosp Assoc 2035:147-153.
- Dunning, D. (2003) Surgical wound infection and the use of antimicrobials. In Textbook of small Animal Surgery 3.rd edn. Ed. D. Slatter. Saunders Elsevier. pp 119.
- Fossum TW (2002) Small Animal Surgery. St Louis: Mosby pp 1023-1157.
- Guerin SR, Lewis DD, Lanz OI, Stalling JT (1998) Comminuted supracondylar humeral fractures repaired with a modified with a modified type 1 external skeletal fixator construct. J Small Anim Pract 39:525-532.
- Kulendera E (2014) Gareth Arthurs, Management and treatment of feline tarsal injuries. In Practice 36:119-132.
- McLennan MJ (2007) Ankylosis is tarsometatarsal luxations using external fixation. J Small Anim Pract 48:508-513.
- Nicholson I, Langley-Hobbs S, Sutclife M, Jeffrey N, Radke H (2012) Feline talocrural luxation: a cadaveric study of repair using ligament prostheses. Vet Comp Orthop Traumatol 25:116-125.
- Owen MA (2000) Use of contoured bar transhock external fixators in 17 cats. J Small Anim Pract 41:440-446.
- Piermattei DL, Flo GL (1997) Handbook of Small Animal Orthopedics and Fracture Repair. 3 rd ed. Philadelphia pp 201-217.
- Pratesi A, Moores AP, Downes C, Grierson J, Maddox TW (2015) Efficacy of Postoperative Antimicrobial Us efor Clean Orthopedic Implant Surgery in Dogs: A Prospective Randomized Study in 100 Consecutive Cases. Vet Sure 44(5):1-8.
- Rochlitz I (2003) Study of factors that may predispose domestic cats to road traffic accidents:Part 1. Vet Rec 153:549-553.
- Roch SP, Clements DN, Mitchell RAS, Downes C, Gemmil TJ, Macias C, McKee WM (2008) Complications following tarsal arthrodesis using bone plate fixation in dogs. J Small Anim Pract 49: 117-126.
- Sağlıyan A, Han MC, Polat E (2017) Köpek ve keidlerde karpal ve tarsal artrodez, Türkiye Klinikleri J Vet Sci Surg-Special Topics 3(2): 140-148.
- Schmökel HG, Ehrsman G (2001) The surgical treatment of talocrural luxation in nine cats. Vet Comp Orthop Traumatol 14:46-50.
- Theoret MC, Moens NMM (2007) The use of veterinary cuttable for carpal and tarsal arthrodesis in small dogs and cats. Can Vet J 48:165-168.
- Yardımcı C, Özak A, Önyay T, İnal KS (2016) Management of traumatic tarsal luxations with transarticular external fixation in cats, Vet Comp Orthop Traumatol 3: 232-238.
Treatment Results of the Tarsocrural Joint Luxations with Talo-tibial Kirschner Wire Application in Cats: 41 Cases (2015-2017)
Öz
Arthrodesis is a salvage procedure that can be preferred in joint dislocations. In small animal practice, arthrodesis is generally performed for tarsal and carpal joint problems. Various operative techniques have been described to perform an appropriate arthrodesis. In tarsal luxations, compression and rigid fixation can be achieved at a functional angle with partial arthrodesis. The study consisted of 41 cats with tarsocrural luxation, who were brought to Istanbul Metropolitan Municipality (IMM) Veterinary Services Department Cebeci Animal Shelter between 2015-2017 with the complaint to stray animal of traffic accident. All patients were treated with partial arthrodesis by fixing only the tarsocrural joint. As a result of the study, it was seen that a single kirschner wire which were sent to medulla of the tibia from medial side of the talus could be provide a sufficient partial arthrodesis. In conclusion, it was seen that, patients could reach a functional gait with a low postoperative complication rate with this technique.
Anahtar Kelimeler
Kaynakça
- Denny HR, Butterworth SJ (2000) A Guide to Canine and Feline Orthopedic Surgery 4 th ed. London: Blackwell Sci pp 415-419.
- Diamond DW, Besso J, Boudrieau RJ (1999) Evaluation of Joint Stabilization for teratment of shearing injuries of the Tarsus in 20 dogs. J Am Anim Hosp Assoc 2035:147-153.
- Dunning, D. (2003) Surgical wound infection and the use of antimicrobials. In Textbook of small Animal Surgery 3.rd edn. Ed. D. Slatter. Saunders Elsevier. pp 119.
- Fossum TW (2002) Small Animal Surgery. St Louis: Mosby pp 1023-1157.
- Guerin SR, Lewis DD, Lanz OI, Stalling JT (1998) Comminuted supracondylar humeral fractures repaired with a modified with a modified type 1 external skeletal fixator construct. J Small Anim Pract 39:525-532.
- Kulendera E (2014) Gareth Arthurs, Management and treatment of feline tarsal injuries. In Practice 36:119-132.
- McLennan MJ (2007) Ankylosis is tarsometatarsal luxations using external fixation. J Small Anim Pract 48:508-513.
- Nicholson I, Langley-Hobbs S, Sutclife M, Jeffrey N, Radke H (2012) Feline talocrural luxation: a cadaveric study of repair using ligament prostheses. Vet Comp Orthop Traumatol 25:116-125.
- Owen MA (2000) Use of contoured bar transhock external fixators in 17 cats. J Small Anim Pract 41:440-446.
- Piermattei DL, Flo GL (1997) Handbook of Small Animal Orthopedics and Fracture Repair. 3 rd ed. Philadelphia pp 201-217.
- Pratesi A, Moores AP, Downes C, Grierson J, Maddox TW (2015) Efficacy of Postoperative Antimicrobial Us efor Clean Orthopedic Implant Surgery in Dogs: A Prospective Randomized Study in 100 Consecutive Cases. Vet Sure 44(5):1-8.
- Rochlitz I (2003) Study of factors that may predispose domestic cats to road traffic accidents:Part 1. Vet Rec 153:549-553.
- Roch SP, Clements DN, Mitchell RAS, Downes C, Gemmil TJ, Macias C, McKee WM (2008) Complications following tarsal arthrodesis using bone plate fixation in dogs. J Small Anim Pract 49: 117-126.
- Sağlıyan A, Han MC, Polat E (2017) Köpek ve keidlerde karpal ve tarsal artrodez, Türkiye Klinikleri J Vet Sci Surg-Special Topics 3(2): 140-148.
- Schmökel HG, Ehrsman G (2001) The surgical treatment of talocrural luxation in nine cats. Vet Comp Orthop Traumatol 14:46-50.
- Theoret MC, Moens NMM (2007) The use of veterinary cuttable for carpal and tarsal arthrodesis in small dogs and cats. Can Vet J 48:165-168.
- Yardımcı C, Özak A, Önyay T, İnal KS (2016) Management of traumatic tarsal luxations with transarticular external fixation in cats, Vet Comp Orthop Traumatol 3: 232-238.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Veteriner Cerrahi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 19 Nisan 2019 |
| Yayımlandığı Sayı | Yıl 2019Cilt: 1 Sayı: 1 |
