Brioschi, V;
Langley-Hobbs, SJ;
Kerwin, S;
Meeson, R;
Radke, H;
(2017)
Combined physeal fractures of the distal radius and ulna: complications associated with K-wire fixation and long-term prognosis in six cats.
Journal of Feline Medicine and Surgery
, 19
(8)
pp. 907-914.
10.1177/1098612X16653644.
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Abstract
OBJECTIVES: The objective was to describe the complications and long-term outcome associated with Kirschner (K)-wire fixation of combined distal radial and ulnar physeal fractures in six cats. METHODS: Medical records (2002-2014) of six referral institutions were searched for cats with combined distal radial and ulnar physeal fractures. Cases with complete clinical files, radiographs and surgical records were retrospectively reviewed. Long-term outcome was assessed via telephone interviews using an owner questionnaire. RESULTS: Complete files were available for 6/9 identified cases (cases 1-6). All fractures were classified as Salter-Harris type I or II. Five cases underwent open reduction and internal fixation via cross-pinning of the distal radius and intramedullary pinning of the ulna (cases 1-3); fixation of the distal radial and ulnar physes with one K-wire each (case 4); and K-wire fixation of the radial physis in combination with two transulnoradial K-wires (case 5). One case underwent closed reduction and percutaneous cross-pinning of the distal radius under fluoroscopic guidance (case 6). The complications encountered were: reduced radiocarpal range of motion (ROM) (cases 1, 3, 4, 5); implant loosening/migration (cases 1, 2, 5); and radioulnar synostosis (case 4). None of the cats developed angular limb deformity. Long-term outcome (12 months to 7 years after surgery) was graded 'excellent' by the owners in all cases. CONCLUSIONS AND RELEVANCE: Prognosis is favourable for feline combined distal radial and ulnar physeal fractures following K-wire fixation in cats over 7 months of age. Implant removal after bony union is recommended to minimise reduction in ROM and to prevent implant loosening/migration.
| Type: | Article |
|---|---|
| Title: | Combined physeal fractures of the distal radius and ulna: complications associated with K-wire fixation and long-term prognosis in six cats |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1177/1098612X16653644 |
| Publisher version: | http://doi.org/10.1177/1098612X16653644 |
| Language: | English |
| Additional information: | Copyright © 2017 The Author(s). All rights reserved. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1504111 |
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