AHMET ÖZAK, BİRSEN DENİZ ÖZBAKIR, KAMİL SERDAR İNAL, TAYLAN ÖNYAY, CENK YARDIMCI

Management of Humeral Fractures in Dogs By Using Semicircular External Fixator and Intramedullary Pin Tie-in Combination

Bu çalışmanın amacı değişik tipteki köpek humerus kırıklarının sağaltımında semisirküler eksternal fiksatör intramedullar bağlamalı pin kombinasyonu ile ilgili tecrübelerin aktarılmasıdır. Kırığın tipi, anamnez, çerçeve konfigürasyonu, komplikasyonlar, bacağın kullanımı, fiksatörün çıkarılma zamanı ve sonuçlar değerlendirildi. Bir olgu haricindeki tüm kırıklarda kaynama şekillendi. Yirmi altı olgu operasyondan sonraki 1-3 gün arasında ilgili bacağını kullanmaya başladı. Geriye kalan 7 olguda bu sürenin 4- 9 gün arasında değiştiği gözlendi. Postoperatif 21-42. günlerde IM pin uzaklaştırılarak sistemde bilinçli zayıflatma uygulandı. Fiksatörün uzaklaştırılma süresi 42 ila 96 gün (ortalama 56 gün) arasında değişim gösterdi. Fonsiyonel değerlendirmede, olguların 26'sında çok iyi, 6'sında iyi ve 1'inde ise zayıf olarak değerlendirildi. Sonuç olarak, bir olgu haricinde tüm kırıkların iyileştiği göz önünde bulundurulduğunda, bize göre unilateral semisirküler eksternal fiksatör ve intramedullar bağlamalı pin kombinasyonu köpeklerin humerus kırıklarının sağaltımında alternatif bir yöntem olarak kullanılabilir. Hastalar operasyonlardan kısa zaman sonra ilgili ekstremitelerini kullanmaya başlamış ve iyileşme sürecinde ilgili eksremitenin kullanımı daha da iyi hale gelmiştir

Köpeklerin Humerus Kırıklarının Semisirküler Eksternal Fiksatör ve İntramedullar Bağlamalı Pin Kombinasyonu İle Sağaltımı

The purpose of present study was to report our experience with use of semicircular external skeletal fixator-intramedullary pin tiein configurations for management of various types of humeral fractures in 33 dogs. Fracture description, history, frame configuration, complications, limb use, fixator removal time, and functional outcome were evaluated. All of the fractures except one with sufficient follow up healed. Twenty-six dogs started to use the operated limb in 1 to 3 days after the operation whereas initial limb use was 4 to 9 days in the other 7 dogs. Destabilization of the frame was performed between 21 to 42 days (median, 32 days) by removal of the IM pin. Time to fixator removal ranged from 42 to 96 days (mean, 56 days). Functional outcome was excellent in 26 cases, good in 6, and poor in 1 dog. As a result of this study, in which all the fractures except one healed, we believe that the unilateral semicircular ESF-IM pin tie-in configurations can be used as an alternative fixation method for the management of humeral fractures in dogs. The patients used the operated limb early in the postoperative period and limb use was improved throughout the healing period

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