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Peer-reviewed veterinary case report

Use of an elastic transarticular external fixator construct for immobilization of the elbow joint.

Journal:
The Canadian veterinary journal = La revue veterinaire canadienne
Year:
2017
Authors:
Vedrine, Bertrand
Affiliation:
Clinique V&#xe9 · France

Plain-English summary

This study looked at a new way to stabilize the elbow joint in pets using an elastic device instead of the usual rigid bars. Four pets with elbow dislocations and ligament injuries were treated with this new method after fixing a torn triceps tendon in one case. The results were excellent for two cats, good for two dogs (one with an elbow dislocation and the other with a torn tendon), but poor for one dog that had a dislocated elbow and a permanent nerve issue. Most of the pets were able to start using their legs again soon after the treatment, which helps them recover better. Overall, this new technique worked well for most of the animals involved.

Abstract

Transarticular external skeletal fixation usually involves rigid bars that result in a stable but stiff joint. This study describes the technique and the outcome of an elastic transarticular external fixator (ETEF) applied to the elbow joint. Four cases of elbow luxation with collateral ligament injuries were managed with closed reduction and application of an ETEF to maintain the reduction. A triceps tendon avulsion was surgically managed before applying an ETEF. The clinical outcome was considered excellent in 2 cats, good in 2 dogs (1 elbow luxation and the avulsion of the triceps tendon), and poor in 1 dog presented for elbow luxation and a permanent neurological defect. The procedure was rapid, easy to perform, and inexpensive. All animals except the one with a neurological defect had an early return to weight bearing. This method maintains extension of the joint while permitting its motion thereby promoting rehabilitation.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/28373726/