Correction of biapical radial deformities by use of bi-level hinged circular external fixation and distraction osteogenesis in 13 dogs

Toni W. Kwan, Denis J Marcellin-Little, Ola L A Harrysson

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objectives: To describe clinical, radiographic, and computed tomographic (CT) assessment of biapical deformities of the radius in dogs and evaluate the effectiveness of their management by use of bilevel hinged circular external fixation frames. Study design: Prospective, non-randomized cohort study. Animals: Dogs (N=26: 13 with 14 limbs operated, 13 controls). Methods: CT scans of the forelimbs were performed and CT-based polymer replicas prepared. Rotation within the elbow joint, varus of the proximal portion of the radius, radial torsion, valgus of the distal portion of the radius, procurvatum, and rotation within the carpal joint were measured on radiographs, on polymer replicas, and on CT scans. Bilevel hinged circular external fixation frames were assembled on polymer replicas and identical frames were placed on dogs. Torsion was corrected acutely and angulation was corrected progressively. Functional outcome was assessed subjectively. Results: Buckling was present preoperatively in operated limbs. Mean (±SD) varus of the proximal portion of the radius was 36±8°, valgus of the distal portion of the radius was 32±5°, external radial torsion was 35±6°, procurvatum was 41±10°, and medial translation was 44±11mm. Treatment duration was 80±24 days. Buckling was not observed after surgery. Lameness scores improved in all dogs (P < .001). Conclusions: The forelimbs of dogs with severe biapical radial deformities buckle and have increased radial head rotation and radial torsion. Biapical radial deformities can be managed with proximal and distal radial osteotomies and bilevel hinged circular external fixation.

Original languageEnglish (US)
Pages (from-to)316-329
Number of pages14
JournalVeterinary Surgery
Volume43
Issue number3
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Distraction Osteogenesis
bone formation
Dogs
dogs
polymers
Polymers
Forelimb
forelimbs
limbs (animal)
joints (animal)
Extremities
Wrist Joint
Elbow Joint
elbows
Osteotomy
cohort studies
lameness
Cohort Studies
surgery
experimental design

ASJC Scopus subject areas

  • veterinary(all)
  • Medicine(all)

Cite this

Correction of biapical radial deformities by use of bi-level hinged circular external fixation and distraction osteogenesis in 13 dogs. / Kwan, Toni W.; Marcellin-Little, Denis J; Harrysson, Ola L A.

In: Veterinary Surgery, Vol. 43, No. 3, 01.01.2014, p. 316-329.

Research output: Contribution to journalArticle

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