OYTUN OKAN ŞENEL, İREM ERGİN, ÖZGE ÖZDEMİR, Sinan ULUSAN, Peter CSEBİ, Zoltan DİOSZEGİ, Hasan BİLGİLİ

Treatment of orthopaedic problems with manufex® disposable external fixator in 15 dogs and 7 cats

Bu çalışma, biri beşeri, diğeri veteriner hekim olan iki Macar ortopedist tarafından geliştirilen Manufex ® eksternal fikzatörün kedi ve köpeklerde karşılaşılan ortopedik problemlerin sağaltımında kullanılması ve sonuçların değerlendirilmesini amaçlamıştır. Çalışma materyalini, köpeklerde humerus (n=1), tibia (n=4) ve radius-ulna (n=4) kırığı, angular deformitesi (radius-ulna kırığıyla birlikte), tibio- tarsal lukzasyon (n=3), tarso-metatarsal kırık (n=1) ve çene kırığı (n=2), kedilerde tibia (n=2), radius (n=1) ve humerus (n=2) kırığı, radio- karpal lukzasyon (n=1), çift tarafı tibio-tarsal lukzasyon ve malleolar tibia kırığı (n=1) oluşturmuştur. Hayvanların büyüklüğüne ve kırık kemik tiplerine göre üç tip fikzatör (büyük, orta ve küçük boy) kullanılmıştır. Operasyon sonrası tüm olgular apareyi iyi tolere etmiş, herhangi bir postoperatif reaksiyon göstermemiş ve hayvanlar uzuvlarını oldukça hızlı kullanmaya başlamışlardır. Yalnız iki köpekte pin dibinde enfeksiyon şekillenmiştir. Fonksiyonel sonuçlar 10 köpekte çok iyi, 4 köpekte iyi ve 1 köpekte yeterli; 6 kedide çok iyi ve 1 kedide yeterli görülmüştür. MDEFnin, karmaşık ekipmana gereksinim duyulmadan kolay uygulanabilmesi, yeterli fikzasyon ve stabilite oluşturması ve daha ekonomik olması yönlerinden diğer eksternal fikzatörlerle karşılaştırıldığında alternatif bir sistem olarak kullanılabileceği sonucuna varılmıştır.

Ortopedik problemli 15 köpek ve 7 kedinin manufex® eksternal fikzatör ile sağaltımı

The aim of this study was to use Manufex® disposible external fixator (MDEF), designed by two Hungarian orthopaedists, one of which is MD and the other is DVM, for treatment of orthopaedic problems, and to present the outcomes in dogs and cats. Cases included fractures of humerus (n=1), tibia (n=4) and radius-ulna (n=4), an angular deformity (with radius-ulna fracture), tibio-tarsal luxations (n=3), a tarso-metatarsal fracture (n=1), mandibular fractures (n=2) in dogs; and fractures of tibia (n=2), radius (n=1) and humerus (n=2), a radio-carpal luxation (n=1), bilateral tibio-tarsal luxation and malleolar tibial fracture (n=1) in cats. Three types of fixators (large, medium and small) has been used according to animal sizes and bone fracture types. All cases had tolerated their apparatus well and did not have any postoperative reactions and they started using the limbs immediately after surgery. Pin tract infections were seen in 2 dogs. Functional outcomes were very good in 10 cases, good in 4 cases and satisfactory in 1 case, in dogs; and very good in 6 cases and satisfactory in 1 case in cats. It was concluded that MDEF can be an alternative system compared to other external fixators, because of its easier application, forming rigid fixation and stability, applying without any complicated equipments and being more economic.

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