Pınar CAN, Mehmet SAĞLAM, Abdurrahim FADIL

Travmatik Articulatio Cubiti Luksasyonunun Tedavisi: Altı Kedide Retrospektif Bir Çalışma

Travmatik dirsek eklemi luksasyonu, küt travma nedeniyle dirsek eklemini oluşturan bir veya daha fazla kemiğin yer değiştirmesi olgusudur, köpeklerde karşılaşılmasına rağmen kedilerde nadir görülmektedir. Köpeklerde çok sayıda vaka serisi olmasına rağmen, kedilerde birkaç bildiri yayımlanmıştır. Bu çalışmanın amacı travmatik dirsek luksasyonu olan kedilerde klinik, radyolojik bulgular ve uygulanan tedavilerin sonuçlarını sunmaktır. Klinik ve radyolojik incelemeler sonucunda travmatik dirsek luksasyonu belirlenen altı kedi çalışmaya dahil edildi. İki akut olgu kapalı redüksiyon ile tedavi edildi, ancak dört kronik olguda kapalı manipulasyon ile redüksiyon sağlanamadı. Kronik olgulardan ikisinde lateral kollateral ligament 2/0 polipropilen sütür ile onarıldı. Diğer kronik olgularda ise lateral kollateral ligamentin onarımı yerine; bunlardan birinde çevresel serklaj ile diğerinde iki vidalı sekiz şeklinde germe teli tekniği ile stabilizasyon sağlandı. Tedavi sonrası hiçbir olguda relüksasyon veya komplikasyon görülmedi. Sonuç olarak, travmatik dirsek luksasyonunun tedavisi için kapalı redüksiyon başarısız olduğunda veya kronik vakalarda, açık redüksiyon girişimi memnuniyet verici bulunmuştur.

Treatment of Traumatic Articulatio Cubiti Luxation: A Retrospective Study in Six Cats

Traumatic elbow joint luxation is the displacement of one or more bones forming the elbow joint due to blunt trauma, and it is uncommonin dogs and rare in cats. Although there are numerous case series in dogs, a few feline reports have been described. The aim of this study isto present the results of the clinical, radiological findings and administered treatments in cats with traumatic elbow luxation. Six cats witha diagnosis of traumatic elbow luxation due to clinical and radiological examinations were included in this study. Two acute cases weretreated with closed reduction, but it was not possible to achieve reduction by close manipulation in four chronic cases. Two of the chroniccases, the lateral collateral ligament was repaired with a 2/0 polypropylene suture. The lateral collateral ligament was beyond to repair in 2of the remaining chronic cases; in one of these cases the stability was achieved with circumferential wire prostheses, in other case with twoscrew and figure-eight-wire technique. There was no failure and/or complication in none of the cases after treatment. In conclusion, whenthe closed reduction is unsuccessful for the treatment of traumatic elbow luxation or in chronic cases, open reduction is found satisfactory.

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