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- Title
Biological Osteosynthesis Versus Traditional Anatomic Reconstruction of 20 Long-Bone Fractures Using an Interlocking Nail: 1994–2001.
- Authors
Horstman, Christopher L.; Beale, Brian S.; Conzemius, Michael G.; Evans, Rich
- Abstract
Objective To observe differences in surgical and healing times as well as complication rates in dogs with a comminuted long-bone fracture stabilized with an interlocking nail (IN) using either anatomic or biologic repair. Study Design Retrospective study. Animals Twenty client-owned dogs with comminuted long-bone fractures. Methods Medical records for dogs with fractures repaired during a 7-year period were reviewed; 20 dogs had repair with an IN nail and radiographic evidence of healing. These 20 dogs where divided into 2 groups, anatomic (11 dogs) and biological (9) repair, for statistical evaluation. Surgical and healing time and complication rates were compared between groups. Results Median surgical times were: anatomic (95 minutes) and biologic (110 minutes; P=.06). Median healing times were anatomic (8 weeks) and biologic (6 weeks; P=.04). No statistical differences were observed in complication rates (the likelihood that a case required a second surgery [ P=.58], the likelihood of a complication that was managed non-surgically [ P=.27]). Use of a bone graft did not shorten healing times ( P=.55). Conclusions Biological osteosynthesis provides clinical advantages over anatomic reconstruction with respect to a reduction in surgical and healing time without increasing complication rates. Clinical Relevance Highly comminuted long-bone fractures can be successfully repaired using an IN without reconstructing the fracture fragments in dogs.
- Subjects
INTERNAL fixation in fractures; BONE fractures in animals; DOGS; VETERINARY surgery; SURGICAL complications
- Publication
Veterinary Surgery, 2004, Vol 33, Issue 3, p232
- ISSN
0161-3499
- Publication type
Article
- DOI
10.1111/j.1532-950X.2004.04034.x