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Use of Reconstruction Plates for the Repair of Segmental llial Fractures Involving Acetabular Comminution in Four Dogs
Author(s) -
OST PETRA C.,
KADERLY ROBERT E.
Publication year - 1986
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.1986.tb00220.x
Subject(s) - medicine , acetabulum , reduction (mathematics) , internal fixation , pelvis , radiography , comminution , acetabular fracture , osteoarthritis , surgery , fixation (population genetics) , orthodontics , population , chemistry , geometry , mathematics , alternative medicine , pathology , environmental health
Four dogs (27.3–31.8 kg) with ilial body fractures associated with various degrees of acetabular comminution were treated using internal fixation. Anatomic reduction and internal fixation were achieved using a long 2.7 mm reconstruction plate on the hemipelvis. Based on the patient's pelvic radiographs, the reconstruction plate was precontoured before surgery to precisely fit a bony pelvis of similar size and shape. Excellent anatomic reduction of the fractures was achieved in all four dogs. Three dogs recovered uneventfully and regained full function of the affected leg. In one dog with comminution of the acetabulum, reduction of the most caudally located fracture was not maintained. Severe osteoarthritis developed, and excision arthroplasty was performed. Reconstruction plates offer greater versatility than dynamic compression plates in the treatment of complex pelvic fractures such as ilial body fractures with acetabular comminution. The technique of precontouring the reconstruction plate prior to surgery decreases intraoperative time and corrects minor discrepancies in reduction.