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Peer-reviewed veterinary case report

Outcomes of fluoroscopic pinning for metabone fractures in dogs

By von Pfeil, Dirsko J F et al.·Published in Veterinary surgery : VS·2024·Small Animal Surgery Locum PLLC, United States·View original on PubMed

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Original publication title: Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning.

Movement & joints

Plain-English summary

A group of 15 dogs and 2 cats with broken bones (metabone fractures) underwent a special surgery called fluoroscopically guided normograde metabone pinning to help them heal. The surgery took about 54 minutes on average, and most pets were able to bear weight on their legs again within about 16 days. After the surgery, all pets returned to normal walking and functioning, with no major complications reported. This method proved to be effective and safe, allowing for a quicker recovery compared to older techniques.

People also search for: dog broken bone surgery · cat fracture recovery time · metabone pinning for pets

Abstract

OBJECTIVE: To report the outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning (FGNMP). STUDY DESIGN: Retrospective case series. ANIMALS: A total of 15 client owned dogs and two cats with 57 metabone fractures. METHODS: Description of FGNMP and reporting of the following data: signalment, pre- and postoperative radiographs, intramedullary pin diameter used, anesthesia, surgery and coaptation times, duration to normal weightbearing and bone union, postoperative care and complications. RESULTS: Median surgery time was 54 min (range: 26-99), median duration of coaptation was 14 days (range: 1-5 weeks), median time to normal weightbearing was 16 days (range: 2-45) and median time to bone union was 6 weeks (range: 4-12). All cases had at least 12 months of post-surgical follow-up with a median follow-up of 18 months (range: 12-70). No major complications occurred. Mild radiographic changes associated with subchondral bone sclerosis were noted on follow-up radiographs in 13/57 fractures. All cases returned to normal gait and full (15) or acceptable (2) function. CONCLUSION: In this study, FGNMP was an effective and safe technique for metabone fracture repair, requiring only short-term external coaptation in most patients. Time to bone union and return to normal function compared favorably to previously reported techniques. CLINICAL RELEVANCE: Fluoroscopically guided normograde metabone pinning provides an alternative technique for treatment of metabone fractures.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38741348/