Mehmet SAĞLAM, PINAR CAN, Abdurrahim FADIL

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 uncommon in 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 is to present the results of the clinical, radiological findings and administered treatments in cats with traumatic elbow luxation. Six cats with a diagnosis of traumatic elbow luxation due to clinical and radiological examinations were included in this study. Two acute cases were treated with closed reduction, but it was not possible to achieve reduction by close manipulation in four chronic cases. Two of the chronic cases, the lateral collateral ligament was repaired with a 2/0 polypropylene suture. The lateral collateral ligament was beyond to repair in 2 of the remaining chronic cases; in one of these cases the stability was achieved with circumferential wire prostheses, in other case with two screw and figure-eight-wire technique. There was no failure and/or complication in none of the cases after treatment. In conclusion, when the closed reduction is unsuccessful for the treatment of traumatic elbow luxation or in chronic cases, open reduction is found satisfactory.

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.

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1. Valastro C, Di Bello A, Crovace A: Congenital elbow subluxation in a cat. Vet Radiol Ultrasound, 46, 63-64, 2005. DOI: 10.1111/j.1740- 8261.2005.00012.x

2. Güzel Ö, Altunatmaz K, Şaroğlu M, Aksoy Ö: Traumatic luxations of the elbow in cats and dogs. İstanbul Üniv Vet Fak Derg, 32, 31-43, 2006.

3. Savoldelli D, Montavon PM, Suter PF: Die traumatische ellbogengelenkluxation bei Hund und Katze: Perioperative befunde. Schweiz Arch Tierheilk, 138, 387-391, 1996. DOI: 10.5169/seals-592641

4. Farrell M, Draffan D, Gemmil T, Mellor D, Carmichael S: In vitro validation of a technique for assessment of canine and feline elbow joint collateral ligament integrity and description of a new method for collateral ligament prosthetic replacement. Vet Surg, 36, 548-556, 2007. DOI: 10.1111/j.1532-950X.2007.00281.x

5. Farrell M, Thomson DG, Carmichael S: Surgical management of traumatic elbow luxation in two cats using circumferential suture prostheses. Vet Comp Orthop Traumatol, 22, 66-69, 2009. DOI: 10.3415/ vcot-08-03-0026

6. Mitchell KE: Traumatic elbow luxation in 14 dogs and 11 cats. Aust Vet J, 89, 213-216, 2011. DOI: 10.1111/j.1751-0813.2011.00718.x

7. Schulz KS, Hayashi K, Fossum TW: Diseases of the joints. In, Fossum TW (Ed): Small Animal Surgery. 1193-1196, 5th ed., Elsevier, St. Louis, Missouri, USA, 2019.

8. O’Brien MG, Boudrieau RJ, Clark GN: Traumatic luxation of the cubital joint (elbow) in dogs: 44 cases (1978-1988). J Am Vet Med Assoc, 201, 1760-1765, 1992.

9. Sajik D, Meeson RL, Kulendra N, Jordan CJ, James D, Calvo I, Farrell M, Kulendra E: Multi-centre retrospective study of long-term outcomes following traumatic elbow luxation in 37 dogs. J Small Anim Pract, 57, 422- 428, 2016. DOI: 10.1111/jsap.12499

10. Candaş A, Sağlam M, Kaya Ü, Bilgili H: Köpeklerde travmatik articulatio cubiti lükzasyonlarında redüksiyon yöntemleri ve sonuçlarına ilişkin klinik çalışmalar. Ankara Üniv Vet Fak Derg, 45, 171-179, 1998.

11. Bongartz A, Carofiglio F, Piaia T, Balligand M: Traumatic partial elbow luxation in a dog. J Small Anim Pract, 49, 359-362, 2008. DOI: 10.1111/j.1748-5827.2007.00511.x

12. Schaeffer IGF, Wolvekamp P, Meij BP, Theijse LFH, Hazewinkel HAW: Traumatic luxation of the elbow in 31 dogs. Vet Comp Orthop Traumatol, 12, 33-39, 1999. DOI: 10.1055/s-0038-1632555

13. McCartney WT, Kiss K, McGovern F: Surgical stabilisation as the primary treatment for traumatic luxation of the elbow joint in 10 dogs. Intern J Appl Res Vet Med, 8, 97-100, 2010.

14. Vedrine B: Use of an elastic transarticular external fixator construct for immobilization of the elbow joint. Can Vet J, 58, 353-359, 2017.

15. Dean BL: In dogs with traumatic elbow luxation, does treatment using closed reduction and conservative management have a better prognosis than those treated with open reduction and surgery? Vet Evidence, 2 (4): 1-19, 2017. DOI: 10.18849/ve.v2i4.128

16. Decamp CE, Johnston SA, Déjardin LM, Schaefer SL: The elbow joint. In, Brinker, Piermattei and Flo’s Handbook of Small Animal Orthopedics and Fracture Repair. 327-365, 5th ed., Elsevier, St. Louis, Missouri, USA, 2016.

17. Abrescia P, Cinti F, Pisani G: Traumatic caudal elbow luxation in two cats. Open Vet J, 9 (4): 361-365, 2019. DOI: 10.4314/ovj.v9i4.14