Tratamento do rádio curvo em cão jovem com associação das técnicas de grampeamento fisário radial, ostectomia ulnar e fixador externo dinâmico transarticular / Treatment of radius curvus in a young dog with association of radial physeal stapling, ulnar ostectomy and transarticular dynamic external fixator techniques

Background: Radius curvus is a clinical manifestation of the premature closure of the distal ulnar physis and the mostcommon physeal disease in dogs, representing 63% of all physeal injuries. There are few reports indicating the techniqueof stapling for treatment of radius curvus in squeletically immature dogs. The aim of this study is to report a case of radiuscurvus in a young dog successfully treated with a combination of 3 surgical tecniques: 1- Stapling the medial and cranialportions of the distal radial physis; 2- Oblique osteotomy of the proximal ulna and ostectomy of the distal ulna, and 3-Dynamic external skeletal fixation in the elbow joint.Case: A 5-month-old female dog was referred to the University Veterinary Hospital with a history of left thoracic limb deformity for 2 months. There was a history of possible traumatic event on the front limb, in addition to providing nutritionalsupplements daily. In the radiographic evaluation the changes were identified in the left thoracic limb: shortening of theulna, procurvatum and medial angulation of the distal radius, increased joint space and articular incongruity of the elbowjoint. The dog was subjected to surgical treatment by the combination of three main surgical techniques. For the staplingof the distal radial physis the surgical approach on the cranial-medial surface of the distal radius was made. Two surgicalstaples were positioned in the distal radial physis. Thereafter a caudal approach was made to the distal region of the ulnardiaphysis for the distal ostectomy of the ulna. A bone segment of 1 cm in length of the distal ulnar diaphysis was removed.Another caudal approach was made to the proximal region of the ulnar diaphysis and a proximal oblique osteotomy of theulna was performed. For the dynamic external skeletal fixation in the elbow joint two Steinmann pins were inserted. Thefirst pin was proximal to the supracondilar...

Tratamento do rádio curvo em cão jovem com associação das técnicas de grampeamento fisário radial, ostectomia ulnar e fixador externo dinâmico transarticular / Treatment of radius curvus in a young dog with association of radial physeal stapling, ulnar ostectomy and transarticular dynamic external fixator techniques

Background: Radius curvus is a clinical manifestation of the premature closure of the distal ulnar physis and the mostcommon physeal disease in dogs, representing 63% of all physeal injuries. There are few reports indicating the techniqueof stapling for treatment of radius curvus in squeletically immature dogs. The aim of this study is to report a case of radiuscurvus in a young dog successfully treated with a combination of 3 surgical tecniques: 1- Stapling the medial and cranialportions of the distal radial physis; 2- Oblique osteotomy of the proximal ulna and ostectomy of the distal ulna, and 3-Dynamic external skeletal fixation in the elbow joint.Case: A 5-month-old female dog was referred to the University Veterinary Hospital with a history of left thoracic limb deformity for 2 months. There was a history of possible traumatic event on the front limb, in addition to providing nutritionalsupplements daily. In the radiographic evaluation the changes were identified in the left thoracic limb: shortening of theulna, procurvatum and medial angulation of the distal radius, increased joint space and articular incongruity of the elbowjoint. The dog was subjected to surgical treatment by the combination of three main surgical techniques. For the staplingof the distal radial physis the surgical approach on the cranial-medial surface of the distal radius was made. Two surgicalstaples were positioned in the distal radial physis. Thereafter a caudal approach was made to the distal region of the ulnardiaphysis for the distal ostectomy of the ulna. A bone segment of 1 cm in length of the distal ulnar diaphysis was removed.Another caudal approach was made to the proximal region of the ulnar diaphysis and a proximal oblique osteotomy of theulna was performed. For the dynamic external skeletal fixation in the elbow joint two Steinmann pins were inserted. Thefirst pin was proximal to the supracondilar...(AU)

Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão / Juvenile pubic symphysiodesis associated with pectineus myectomy for treatment of hip dysplasia in dog

Background: Hip dysplasia (HD) is the most common non-traumatic orthopedic disease in large breed dogs. Treatment is chosen according to the severity of the condition, the age of the dog and the involvement of osteoarthritis (OA). For puppies up to 20-weeks-old, surgical treatment by the juvenile pubic symphysiodesis (JPS) technique can be performed. This procedure promotes the ventrolateral rotation of the acetabulum over the femoral head, which improves hip joint congruence and stability. The objective of this study is to report the case of a young dog with HD treated with JPS and pectineus myectomy. Clinical and radiographic outcomes were assessed for up to one year after surgery. Case: A 17-week-old Saint Bernard puppy was attended at the University Veterinary Hospital showing abnormal weight bearing and lameness in pelvic limbs, without history of previous trauma. On orthopedic examination, there was a marked hypotrophy of the pelvic limb muscles, severe pain and laxity in the hip joints, and positive feature in the Ortolani test. The hip joint subluxation angle (SA) and reduction angle (RA) were measured. A radiographic study was carried out to evaluate the hip joints and measure the Norberg angle (NA), distraction index (DI), acetabular angle (AA) and dorsal acetabular rim angle (DARA). The 20-week-old dog underwent surgical treatment by JPS technique. A ventral surgical approach to the pubis was performed and the pubic symphysis was cauterized with electrocautery. Partial pectineus myectomy technique was also performed. Drug therapy and restriction of physical activities were indicated in the early postoperative. The dog was evaluated by clinical and radiographic examinations at 4 months and 1 year after the surgical procedure. In the reassessment after 4 months of surgical treatment, the patient showed improvement in clinical signs, with mild lameness and absence of painful sensitivity in the movement of the hip joints. Radiographically, hip joint incongruity was observed, but with progressive improvement in the values of the measured variables. In the clinical examination 1 year after the procedure, the dog showed satisfactory weight bearing with slight lameness in pelvic limbs in the running gait. There was improvement in the thigh muscles and no painful signs were observed in the hip joints, but a positive result was detected in the Ortolani test. In the radiographic examination, bilateral articular incongruity was still observed, however, there was a mild improvement in the coverage of the acetabulum over the femoral head. The measured angles and indices showed favorable results regarding the recovery of hip joint stability and proper development. Discussion: Studies evaluating the JPS technique for the treatment of HD have shown to be a relatively simple and effective procedure, which allows altering the acetabular coverage, reducing the development of HD and the progression of OA. The need for an early diagnosis of this condition is essential, so that the JPS technique can be used in young dogs and offer effective results. In the present report, in the late postoperative period, the dog showed improvement in clinical signs, with favorable weight bearing and ambulation in pelvic limbs, recovery of limb muscles, absence of pain in the hip joints and decrease in RA and SA. Radiographically, the reduction in joint subluxation, improvement in acetabular coverage over femoral heads, increase in NA and AA, reduction in DI and DARA are evidence of the favorable outcome of ventrolateral rotation of the acetabulum after surgical treatment. The surgical technique used was effective, which enabled the dog to recover the functional use of the pelvic limbs and improve the quality of life.

Comparação clínica entre dois métodos de estabilização em desvio angular distal de tíbia corrigido pela metodologia CORA / Clinical comparison between two stabilization methods in distal tibial angular deviation corrected by the CORA method

Background: Angular deformity is characterized by the deviation of part of the bone that can occur in three different planes, frontal, sagittal and transverse. Trauma on physeal plates is the most common cause of angular deviations of the limbs in dogs. Currently the CORA (Center of Rotation of Angulation) methodology is the best way to evaluate and surgically correct these deformities. The objective of this study is to describe the surgical procedures performed to treat the uniapical valgus deviation affecting both tibial bones in a dog, comparing the outcomes of hybrid external skeletal fixator used in the right pelvic limb in relation to the locking plate used in the left pelvic limb. Case: A 10-month old Border Collie dog was attended at the University Veterinary Hospital with history of lameness and deviation of both pelvic limbs. In the orthopedic examination, it was possible to identify bilateral valgus deviation in the region of the tibio-tarsal joints and moderate lameness, with absence of pain or joint crepitation. Radiographic examination showed that the deformity was only uniapical in the frontal plane, affecting both tibial bones of the dog. Signs of osteoarthrosis were not observed and the preoperative examinations were within the normal limits for the species. The deformities were corrected in two surgical times starting with the procedure in the right tibia, which appeared to be clinically worse. Due to the fact that it was a bilateral affection and there was not a healthy pelvic limb to obtain the normal angles values of this dog, for planning according to the CORA methodology, the values of the tibial mechanical angles for dogs of similar size were taken from the literature. For surgical correction of the right tibia, a closed wedge osteotomy was performed following the second rule of Paley

Comparação clínica entre dois métodos de estabilização em desvio angular distal de tíbia corrigido pela metodologia CORA / Clinical comparison between two stabilization methods in distal tibial angular deviation corrected by the CORA method

Background: Angular deformity is characterized by the deviation of part of the bone that can occur in three different planes, frontal, sagittal and transverse. Trauma on physeal plates is the most common cause of angular deviations of the limbs in dogs. Currently the CORA (Center of Rotation of Angulation) methodology is the best way to evaluate and surgically correct these deformities. The objective of this study is to describe the surgical procedures performed to treat the uniapical valgus deviation affecting both tibial bones in a dog, comparing the outcomes of hybrid external skeletal fixator used in the right pelvic limb in relation to the locking plate used in the left pelvic limb. Case: A 10-month old Border Collie dog was attended at the University Veterinary Hospital with history of lameness and deviation of both pelvic limbs. In the orthopedic examination, it was possible to identify bilateral valgus deviation in the region of the tibio-tarsal joints and moderate lameness, with absence of pain or joint crepitation. Radiographic examination showed that the deformity was only uniapical in the frontal plane, affecting both tibial bones of the dog. Signs of osteoarthrosis were not observed and the preoperative examinations were within the normal limits for the species. The deformities were corrected in two surgical times starting with the procedure in the right tibia, which appeared to be clinically worse. Due to the fact that it was a bilateral affection and there was not a healthy pelvic limb to obtain the normal angles values of this dog, for planning according to the CORA methodology, the values of the tibial mechanical angles for dogs of similar size were taken from the literature. For surgical correction of the right tibia, a closed wedge osteotomy was performed following the second rule of Paley…(AU)

Técnica de avanço e transposição da tuberosidade tibial (TTTA) com uso de espaçador único de TTA-Maquet em cão / Technique of tibial tuberosity transposition and advancement (TTTA) with use of TTA-Maquet cage-only in dog

Background: The most common conditions that compromise the stifle joint in dogs are medial patellar luxation (MPL) and cranial cruciate ligament (CCL) rupture. Surgical procedures are usually indicated for the treatment of these diseases. One ordinarytechnique for the treatment of MPL is the tibial tuberosity transposition, and one prominent technique for CCL rupture is the tibialtuberosity advancement. These techniques can be associated in one surgical procedure called tibial tuberosity transposition andadvancement (TTTA) for the simultaneous treatment of both stifle diseases. The aim of this study is to report the surgical treatmentof a dog with MPL and CCL rupture affecting the same joint by the TTTA technique with the use of a TTA-Maquet cage-only.Case: A 3-year-old Pitbull dog weighing 39 kg was attended at Veterinary Hospital with a history of marked lameness in theleft pelvic limb. The orthopedic examination showed positive results for cranial drawer motion and tibial compression tests,and a complete CCL rupture was diagnosed. The presence of patellar luxation was evaluated by manual pressure on the patella, and grade 3 of MPL was diagnosed. Both conditions were affecting the same stifle joint. In addition, survey radiographsof the affected joint were performed. Surgical treatment was indicated by the TTTA technique. Radiographic measurementswere taken to calculate the cranial tibial tuberosity advancement by the tibial plateau and the common tangent methods, and atitanium TTA-Maquet cage-only of 10.5 x 20.0 mm was selected. Linear osteotomy was performed on the tibial tuberosity withthe aid of an oscillating saw, based on the Maquet hole technique. The tibial tuberosity was carefully displaced cranially and thecage was inserted at the site of osteotomy. The cage ears were molded on the tibial surface and fixed with 2.4 mm self-tappingcortical screws...

Torção uterina unicornual em cadela não gestante / Unicornual uterine twist in non-pregnant bitch

Background: Uterine twisting in bitches is an uncommon disease in which the difficulty of diagnosis is due to non specific clinical signs. This condition is more commonly observed in pluriparous females and is usually associated with a pregnant uterus close to birth, or associated with hemometra, pyometra and neoplasms in non-pregnant bitches. This study reports a case of an 11-year-old Poodle bitch with a rare case of uterine twisting in a non-pregnant womb. Case: A 11-year-old Poodle dog, weighing 3.2 kg, was admitted at the institution with a history of anorexia, oligodipsia and apathy during one day. There was no information on the last phase of estrus or previous pregnancies. The patient arrived at the emergency room of the veterinary hospital with cardiorespiratory arrest and was resuscitated with mechanical ventilation, cardiac massage and administration of adrenaline (0.1 mg/kg IV, 1 mg/ml concentration), tramadol hydrochloride (2mg/kg via IV) and oxygen therapy. Clinical examination revealed a distended and tense abdomen with a palpable mass inthe mesogastric region. Ultrasound examination showed a heterogeneous structure (> 10cm. in diameter), with cavitary areas filled with heterogeneous anechoic content and septations, located between the liver and urinary bladder. It was notpossible to identify in which organ or structure the mass originated, and the possibility of gestation and fetal death was discarded. The female died six hours after admission. The patient was submitted to necropsy and histopathological analysis revealed a dark red and enlarged segment of the uterine horn with a 360º twist, occupying most of the abdominal cavity.The left uterine horn was about 10 cm in diameter and firm, and cystic areas were observed on a reddish-black surface containing a large amount of bloody fluid. The right uterine horn was normal in appearance, but with a small amount of fluid...

Curativo de hidrocoloide em lesões por arrastamento na região distal dos membros pélvicos em cães / Hydrocolloid membrane dressing in shearing injuries in the distal part of the pelvic limbs in dogs

Background: Shearing wounds on the limbs of dogs usually affect the regions distally from the radiocarpal joint at thethoracic limb and from the tibiotarsal joint at the pelvic limb. The tissue coverage and re-epithelialization of the injuredregion are important factors that should be considered in the definitive surgical treatment. The hydrocolloid membranepromotes selective autolytic debridement and accelerates the formation of granulation tissue and epithelialization. Thepresent study aims to describe the treatment with hydrocolloid membrane dressing of three cases of shearing wounds withconcomitant orthopedic injuries in the pelvic limbs of dogs.Case: Three dogs with pelvic limb injuries after vehicular trauma were selected for treatment. Two patients had shearinglesions on the medial aspect of the pelvic limb with exposure of the tibia and fibula, the talus and the tibiotarsal joint,associated with bone loss on the medial surface of the limb and rupture of the medial collateral ligament of the tarsus.Another patient had a shearing wound on the dorsal surface of the distal region of the pelvic limb, with injury of the digitalextensor tendons and bone exposure of the second and third metatarsals. Initially, the surgical debridement of the lesionwas performed and during the first five days after trauma the wound was cleansed with chlorhexidine solution and topicalapplication of crystallized sugar daily. In this initial period a dry adherent dressing was used on the lesions, without bandagesfor immobilization of the pelvic limb. In all dogs, the hydrocolloid membrane was applied from the sixth day after initialwound management. Immediately after the application of the hydrocolloid membrane, temporary immobilization of theaffected pelvic limb with a padded Robert Jones bandage was performed. The first changes of the hydrocolloid membraneswere performed after five days of their use. Subsequently, the membranes changes...

Torção uterina unicornual em cadela não gestante / Unicornual uterine twist in non-pregnant bitch

Background: Uterine twisting in bitches is an uncommon disease in which the difficulty of diagnosis is due to non specific clinical signs. This condition is more commonly observed in pluriparous females and is usually associated with a pregnant uterus close to birth, or associated with hemometra, pyometra and neoplasms in non-pregnant bitches. This study reports a case of an 11-year-old Poodle bitch with a rare case of uterine twisting in a non-pregnant womb. Case: A 11-year-old Poodle dog, weighing 3.2 kg, was admitted at the institution with a history of anorexia, oligodipsia and apathy during one day. There was no information on the last phase of estrus or previous pregnancies. The patient arrived at the emergency room of the veterinary hospital with cardiorespiratory arrest and was resuscitated with mechanical ventilation, cardiac massage and administration of adrenaline (0.1 mg/kg IV, 1 mg/ml concentration), tramadol hydrochloride (2mg/kg via IV) and oxygen therapy. Clinical examination revealed a distended and tense abdomen with a palpable mass inthe mesogastric region. Ultrasound examination showed a heterogeneous structure (> 10cm. in diameter), with cavitary areas filled with heterogeneous anechoic content and septations, located between the liver and urinary bladder. It was notpossible to identify in which organ or structure the mass originated, and the possibility of gestation and fetal death was discarded. The female died six hours after admission. The patient was submitted to necropsy and histopathological analysis revealed a dark red and enlarged segment of the uterine horn with a 360º twist, occupying most of the abdominal cavity.The left uterine horn was about 10 cm in diameter and firm, and cystic areas were observed on a reddish-black surface containing a large amount of bloody fluid. The right uterine horn was normal in appearance, but with a small amount of fluid...(AU)

Curativo de hidrocoloide em lesões por arrastamento na região distal dos membros pélvicos em cães / Hydrocolloid membrane dressing in shearing injuries in the distal part of the pelvic limbs in dogs

Background: Shearing wounds on the limbs of dogs usually affect the regions distally from the radiocarpal joint at thethoracic limb and from the tibiotarsal joint at the pelvic limb. The tissue coverage and re-epithelialization of the injuredregion are important factors that should be considered in the definitive surgical treatment. The hydrocolloid membranepromotes selective autolytic debridement and accelerates the formation of granulation tissue and epithelialization. Thepresent study aims to describe the treatment with hydrocolloid membrane dressing of three cases of shearing wounds withconcomitant orthopedic injuries in the pelvic limbs of dogs.Case: Three dogs with pelvic limb injuries after vehicular trauma were selected for treatment. Two patients had shearinglesions on the medial aspect of the pelvic limb with exposure of the tibia and fibula, the talus and the tibiotarsal joint,associated with bone loss on the medial surface of the limb and rupture of the medial collateral ligament of the tarsus.Another patient had a shearing wound on the dorsal surface of the distal region of the pelvic limb, with injury of the digitalextensor tendons and bone exposure of the second and third metatarsals. Initially, the surgical debridement of the lesionwas performed and during the first five days after trauma the wound was cleansed with chlorhexidine solution and topicalapplication of crystallized sugar daily. In this initial period a dry adherent dressing was used on the lesions, without bandagesfor immobilization of the pelvic limb. In all dogs, the hydrocolloid membrane was applied from the sixth day after initialwound management. Immediately after the application of the hydrocolloid membrane, temporary immobilization of theaffected pelvic limb with a padded Robert Jones bandage was performed. The first changes of the hydrocolloid membraneswere performed after five days of their use. Subsequently, the membranes changes...(AU)

Técnica de avanço e transposição da tuberosidade tibial (TTTA) com uso de espaçador único de TTA-Maquet em cão / Technique of tibial tuberosity transposition and advancement (TTTA) with use of TTA-Maquet cage-only in dog

Background: The most common conditions that compromise the stifle joint in dogs are medial patellar luxation (MPL) and cranial cruciate ligament (CCL) rupture. Surgical procedures are usually indicated for the treatment of these diseases. One ordinarytechnique for the treatment of MPL is the tibial tuberosity transposition, and one prominent technique for CCL rupture is the tibialtuberosity advancement. These techniques can be associated in one surgical procedure called tibial tuberosity transposition andadvancement (TTTA) for the simultaneous treatment of both stifle diseases. The aim of this study is to report the surgical treatmentof a dog with MPL and CCL rupture affecting the same joint by the TTTA technique with the use of a TTA-Maquet cage-only.Case: A 3-year-old Pitbull dog weighing 39 kg was attended at Veterinary Hospital with a history of marked lameness in theleft pelvic limb. The orthopedic examination showed positive results for cranial drawer motion and tibial compression tests,and a complete CCL rupture was diagnosed. The presence of patellar luxation was evaluated by manual pressure on the patella, and grade 3 of MPL was diagnosed. Both conditions were affecting the same stifle joint. In addition, survey radiographsof the affected joint were performed. Surgical treatment was indicated by the TTTA technique. Radiographic measurementswere taken to calculate the cranial tibial tuberosity advancement by the tibial plateau and the common tangent methods, and atitanium TTA-Maquet cage-only of 10.5 x 20.0 mm was selected. Linear osteotomy was performed on the tibial tuberosity withthe aid of an oscillating saw, based on the Maquet hole technique. The tibial tuberosity was carefully displaced cranially and thecage was inserted at the site of osteotomy. The cage ears were molded on the tibial surface and fixed with 2.4 mm self-tappingcortical screws...(AU)

Physiotherapy in a dog before and after bilateral distal pelvic limb arthrodesis: a case report / Fisioterapia em cão antes e após artrodese bilateral em parte distal de membros pélvicos: relato de caso

Traumatic injuries to the spine and spinal cord occur frequently in veterinary medicine, and motor vehicle trampling is one of the most prevalent causes among dogs. In cases of locomotory disorders, veterinary physiotherapy can be used in conjunction with clinical and surgical treatments. Its main objective is restoring, maintaining and promoting the improvement of the animals physical function and aptitude, welfare, and quality of life, facilitating its fast and even complete recovery. This article is a case report of the physiotherapeutic treatment applied to a dog that presented several complications in pelvic limbs due to spine and spinal cord trauma. It also emphasizes the benefits on rehabilitation associated with clinical and surgical treatments.

Lesões traumáticas em coluna vertebral e medula espinhal ocorrem frequentemente na Medicina Veterinária, e o atropelamento por veículos automotivos é uma das causas mais prevalentes entre os cães. A fisioterapia veterinária, quando relacionada aos distúrbios locomotores e usada em conjunto com os tratamentos clínico e cirúrgico, tem o objetivo de restaurar, manter e promover a melhora da função e aptidão física, o bem-estar e a qualidade de vida do animal, facilitando sua rápida, e até completa, recuperação. Este trabalho relata os resultados do tratamento fisioterápico efetuado em um cão que apresentou diversas complicações em membros pélvicos, decorrentes de traumas na coluna vertebral e na medula espinhal, e destaca os benefícios da associação entre reabilitação e os tratamentos clínico e cirúrgico.

Physiotherapy in a dog before and after bilateral distal pelvic limb arthrodesis: a case report / Fisioterapia em cão antes e após artrodese bilateral em parte distal de membros pélvicos: relato de caso

Traumatic injuries to the spine and spinal cord occur frequently in veterinary medicine, and motor vehicle trampling is one of the most prevalent causes among dogs. In cases of locomotory disorders, veterinary physiotherapy can be used in conjunction with clinical and surgical treatments. Its main objective is restoring, maintaining and promoting the improvement of the animals physical function and aptitude, welfare, and quality of life, facilitating its fast and even complete recovery. This article is a case report of the physiotherapeutic treatment applied to a dog that presented several complications in pelvic limbs due to spine and spinal cord trauma. It also emphasizes the benefits on rehabilitation associated with clinical and surgical treatments.(AU)

Lesões traumáticas em coluna vertebral e medula espinhal ocorrem frequentemente na Medicina Veterinária, e o atropelamento por veículos automotivos é uma das causas mais prevalentes entre os cães. A fisioterapia veterinária, quando relacionada aos distúrbios locomotores e usada em conjunto com os tratamentos clínico e cirúrgico, tem o objetivo de restaurar, manter e promover a melhora da função e aptidão física, o bem-estar e a qualidade de vida do animal, facilitando sua rápida, e até completa, recuperação. Este trabalho relata os resultados do tratamento fisioterápico efetuado em um cão que apresentou diversas complicações em membros pélvicos, decorrentes de traumas na coluna vertebral e na medula espinhal, e destaca os benefícios da associação entre reabilitação e os tratamentos clínico e cirúrgico.(AU)

Pantarsal arthrodesis with a customized titanium medial plate in a dog

Background: Tibiotarsal joint luxations are mostly traumatic and due to automobile accidents. The arthrodesis of this joint is considered the final solution for trauma with ligament lesions without repair, luxations without possibility of joint recovery and chronic joint diseases. The direction to which the joint is dislocated is associated with the forces of trauma, and bilateral ligament injuries are not uncommon. However, the medial ligaments are more frequently injured. The aim of this study is to describe the performance of pantarsal arthrodesis using a customized titanium plate for application to the medial surface of the joint.Case: An undefined breed dog, weighing 21.5 kg, was attended at the Veterinary Hospital of the Federal University of Lavras (UFLA) with history of trauma and injury in the right pelvic limb. After physical and radiographic examinations it was diagnosed with an exposed luxation of the tibiotarsal joint and tissue loss in the region. The tibiotarsal region was cleaned and a bandage was made daily until the first surgical procedure, which occurred five days later. Initially, it was treated without success with the use of a transarticular external fixator1 . Subsequently, pantarsal arthrodesis was performed using a customized titanium angled plate (Made by a private manufacturer based on the functional angulation of the tibiotarsal joint of the contralateral limb). The joint was accessed for exposure of the distal portion of the tibia, tarsal and metatarsals bones. Wear of the articular surfaces was performed and then the customized angulation plate for pantarsal arthrodesis was placed on the medial side of the joint. Bicortical drillings were performed, starting with the proximal orifice. According to the holes of the plate, five 3.5 mm diameter screws1 (four at the distal tibia and one at the tarsus) and four 2.7 mm diameter screws were used in the metatarsal bones.[...](AU)

Enxerto osteocondral autógeno associado ao IGF-1 emlesão induzida na cartilagem articular de coelhos / Autogenous osteochondral graft associated with IGF-1 in induced articular cartilage lesion in rabbits

Background: Articular cartilage has a limited capacity for regeneration and of the various treatments proposed, none have reached appropriate therapeutic effectiveness. This study aimed to evaluate autogenous osteochondral grafts in intact or macerated format, in association with or without insulin-like growth factor type-1 (IGF-1) in the repair of osteochondral defects induced in the femoral trochlear groove of rabbits.Materials, Methods & Results: Seventeen healthy White New Zealand rabbits were selected for this study. The rabbits were female, six months old, and had an average body weight of 4.5 kg. All 34 stifle joints were subjected to autogenous osteochondral grafting in the femoral trochlear groove. The joints were divided into four groups designated as intact osteochondral graft with IGF-1 (INT + IGF), intact osteochondral graft with physiological solution (INT + FIS), macerated osteochondral graft with IGF-1 (MAC + IGF), and macerated osteochondral graft with physiological solution (MAC + FIS). Serial evaluations were performed by orthopedic and radiographic examination. After 6 and 12 weeks postoperatively, the grafted area was subjected to macroscopic, histological, and immunohistochemical analyses. Although no statistically significant differences were found between the groups in relation to clinical, macroscopic, histological, and immunohistochemical aspects, a tendency of IGF-1 to promote tissue repair was evident. In the radiographic evaluation, the articular surface and the recipient site in both groups with IGF-1 showed significantly more effective filling (P ≤ 0.05). Regardless of the group, collagen type 2 production, as assessed by immunohistochemistry, was found to be appropriate on the grafted articular surface.[...]

Pantarsal arthrodesis with a customized titanium medial plate in a dog

Background: Tibiotarsal joint luxations are mostly traumatic and due to automobile accidents. The arthrodesis of this joint is considered the final solution for trauma with ligament lesions without repair, luxations without possibility of joint recovery and chronic joint diseases. The direction to which the joint is dislocated is associated with the forces of trauma, and bilateral ligament injuries are not uncommon. However, the medial ligaments are more frequently injured. The aim of this study is to describe the performance of pantarsal arthrodesis using a customized titanium plate for application to the medial surface of the joint.Case: An undefined breed dog, weighing 21.5 kg, was attended at the Veterinary Hospital of the Federal University of Lavras (UFLA) with history of trauma and injury in the right pelvic limb. After physical and radiographic examinations it was diagnosed with an exposed luxation of the tibiotarsal joint and tissue loss in the region. The tibiotarsal region was cleaned and a bandage was made daily until the first surgical procedure, which occurred five days later. Initially, it was treated without success with the use of a transarticular external fixator1 . Subsequently, pantarsal arthrodesis was performed using a customized titanium angled plate (Made by a private manufacturer based on the functional angulation of the tibiotarsal joint of the contralateral limb). The joint was accessed for exposure of the distal portion of the tibia, tarsal and metatarsals bones. Wear of the articular surfaces was performed and then the customized angulation plate for pantarsal arthrodesis was placed on the medial side of the joint. Bicortical drillings were performed, starting with the proximal orifice. According to the holes of the plate, five 3.5 mm diameter screws1 (four at the distal tibia and one at the tarsus) and four 2.7 mm diameter screws were used in the metatarsal bones.[...]

Enxerto osteocondral autógeno associado ao IGF-1 emlesão induzida na cartilagem articular de coelhos / Autogenous osteochondral graft associated with IGF-1 in induced articular cartilage lesion in rabbits

Background: Articular cartilage has a limited capacity for regeneration and of the various treatments proposed, none have reached appropriate therapeutic effectiveness. This study aimed to evaluate autogenous osteochondral grafts in intact or macerated format, in association with or without insulin-like growth factor type-1 (IGF-1) in the repair of osteochondral defects induced in the femoral trochlear groove of rabbits.Materials, Methods & Results: Seventeen healthy White New Zealand rabbits were selected for this study. The rabbits were female, six months old, and had an average body weight of 4.5 kg. All 34 stifle joints were subjected to autogenous osteochondral grafting in the femoral trochlear groove. The joints were divided into four groups designated as intact osteochondral graft with IGF-1 (INT + IGF), intact osteochondral graft with physiological solution (INT + FIS), macerated osteochondral graft with IGF-1 (MAC + IGF), and macerated osteochondral graft with physiological solution (MAC + FIS). Serial evaluations were performed by orthopedic and radiographic examination. After 6 and 12 weeks postoperatively, the grafted area was subjected to macroscopic, histological, and immunohistochemical analyses. Although no statistically significant differences were found between the groups in relation to clinical, macroscopic, histological, and immunohistochemical aspects, a tendency of IGF-1 to promote tissue repair was evident. In the radiographic evaluation, the articular surface and the recipient site in both groups with IGF-1 showed significantly more effective filling (P ≤ 0.05). Regardless of the group, collagen type 2 production, as assessed by immunohistochemistry, was found to be appropriate on the grafted articular surface.[...](AU)

Proximal tibial epiphysiodesis in a growing dog / Epifisiodese tibial proximal em um cão em crescimento

Background: It is believed that the inclined tibial plateau angle to be a major cause of cranial cruciate ligament (CCL) rupture, and the treatment of this disease is the tibial plateau leveling for decrease the cranial tibial thrust. However, there are breeds predisposed to rupture of the cranial cruciate ligament and in this patterns breed the tibial plateau is more inclined due to the conformation of the limb. The aim of this communication was to evaluate the effectiveness of the locking screw and cauterizing the growth plate of the tibial plateau as a preventive method of cranial cruciate ligament rupture. Case: In a young dog, one stifle joint randomly chosen for placing a screw in order to block the tibial plateau growth line. There was placed a 3.5 mm x 20 mm cancellous bone screw in the dorsocranial surface of the tibial plateau of the left hindlimb. Two months after the first surgical intervention, the contralateral limb was cauterized in the tibial plateau growth line. Electrocauterization was performed with a spatula electrode set at 60 watts, performing ablation on the cranial third of the tibial plateau physis with access to the medial and lateral surfaces of the proximal tibia. The electrode was placed against the physis for 10 seconds at each site. Both members were followed radiographically to measure the tibial plateau angle and observed the angle reduction. [...]

Proximal tibial epiphysiodesis in a growing dog / Epifisiodese tibial proximal em um cão em crescimento

Background: It is believed that the inclined tibial plateau angle to be a major cause of cranial cruciate ligament (CCL) rupture, and the treatment of this disease is the tibial plateau leveling for decrease the cranial tibial thrust. However, there are breeds predisposed to rupture of the cranial cruciate ligament and in this patterns breed the tibial plateau is more inclined due to the conformation of the limb. The aim of this communication was to evaluate the effectiveness of the locking screw and cauterizing the growth plate of the tibial plateau as a preventive method of cranial cruciate ligament rupture. Case: In a young dog, one stifle joint randomly chosen for placing a screw in order to block the tibial plateau growth line. There was placed a 3.5 mm x 20 mm cancellous bone screw in the dorsocranial surface of the tibial plateau of the left hindlimb. Two months after the first surgical intervention, the contralateral limb was cauterized in the tibial plateau growth line. Electrocauterization was performed with a spatula electrode set at 60 watts, performing ablation on the cranial third of the tibial plateau physis with access to the medial and lateral surfaces of the proximal tibia. The electrode was placed against the physis for 10 seconds at each site. Both members were followed radiographically to measure the tibial plateau angle and observed the angle reduction. [...](AU)

Femoral fracture repair in a ferret (Mustela putorius furo) / Tratamento de fratura femoral em ferret (Mustela putorius furo)

Background: Ferrets (Mustela putorius furo) are increasingly popular as pets. They require similar medical and surgical care as small animals, and orthopedic lesions are more and more common. Fracture diagnosis is based on history, orthopedic exam, and diagnostic imaging. The preferred treatment for femur fractures is surgery, which has a favorable outcome in the majority of cases. However, surgical fracture repair in ferrets can be challenging due to the small size of the bones. The objective of this paper is to report the surgical repair of a femoral fracture in a ferret using an external skeletal fixation system type IA connected to an intramedullary pin (tie-in configuration). Case: An adult ferret was referred to the veterinary hospital after being stepped on. The ferret was diagnosed with an oblique diaphyseal fracture of the left femur and surgery was recommended. Open fracture reduction was performed with a 1 mm intramedullary pin (Kirschner wire) placed in a retrograde direction into the proximal bone segment. After fracture reduction, the intramedullary pin was inserted into the distal bone segment. The external skeletal fixator type IA was created by the insertion of a 1.5 mm Schanz pin into the distal diaphysis and another, also 1.5 mm, inserted into the proximal metaphysis, both percutaneously. The three pins were connected externally to an aluminum bar with the [...]