Corrective wedge ostectomy for an atypical femoral procurvatum deformity stabilised with a supracondylar bone plate

Smalle, Tesh M.; Coetzee, Gert Louis; Naudé, Susan

doi:10.4102/jsava.v89i0.1545

Cited by 4 publications

(19 citation statements)

References 12 publications

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“…2013, Kim & Lewis 2014, Smalle et al . 2018), with surgical correction aimed at restoring sagittal plane deformities (Kuipers et al . 2010, Kim & Lewis 2014, Smalle et al .…”

Section: Discussionmentioning

confidence: 99%

“…2010, Kim & Lewis 2014, Smalle et al . 2018), frontal‐plane deformities (Wendelburg et al . 2011, Petazzoni & Palmer 2012, Coutin et al .…”

Section: Discussionmentioning

confidence: 99%

“…2013, Kim & Lewis 2014, Smalle et al . 2018). Increased femoral procurvatum causes reduction in functional stifle joint extension; this loss in extension has been postulated to contribute to ongoing lameness in these dogs (Kim & Lewis 2014).…”

Section: Discussionmentioning

confidence: 99%

“…2010, Kim & Lewis 2014, Smalle et al . 2018). This displacement pattern often results in impingement of the quadriceps muscles and/or the patella by the distal aspect of the proximal fracture segment.…”

Section: Introductionmentioning

confidence: 99%

“…2010, Kim & Lewis 2014, Smalle et al . 2018), with the potential for on‐going interference with the normal action of the quadriceps mechanism. This report describes the clinical presentation, surgical intervention and long‐term outcome in four dogs presenting with quadriceps impingement caused by distal femoral malunion.…”

Section: Introductionmentioning

confidence: 99%

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Simple ostectomy to address quadriceps impingement caused by distal femoral malunion in four dogs

Jones

Tryon

Kieves

et al. 2020

J of Small Animal Practice

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Four dogs were evaluated for chronic pelvic limb lameness. Radiographs revealed distal femoral malunion with caudo‐proximal displacement, resulting in impingement of the quadriceps from the distal aspect of the proximal femoral segment. All dogs presented with femoral shortening and increased femoral procurvatum when compared with the normal contralateral femur. There was minimal angular or rotational misalignment. Treatment consisted of ostectomy of the fracture segment that was causing quadriceps impingement, with debridement of proliferative fracture callus proximal to the trochlear groove in all dogs. No attempt was made to address sagittal plane deformities. Long‐term orthopaedic examination with objective gait analysis in three dogs revealed minimal to no lameness in two and mild residual lameness in one dog. Long‐term radiographic analysis revealed fracture‐site remodelling with an increase in femoral length and a return of near‐normal femoral procurvatum in all dogs. Owner‐assessed long‐term outcome was excellent in all dogs.

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“…2013, Kim & Lewis 2014, Smalle et al . 2018), with surgical correction aimed at restoring sagittal plane deformities (Kuipers et al . 2010, Kim & Lewis 2014, Smalle et al .…”

Section: Discussionmentioning

confidence: 99%

“…2010, Kim & Lewis 2014, Smalle et al . 2018), frontal‐plane deformities (Wendelburg et al . 2011, Petazzoni & Palmer 2012, Coutin et al .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Simple ostectomy to address quadriceps impingement caused by distal femoral malunion in four dogs

Jones

Tryon

Kieves

et al. 2020

J of Small Animal Practice

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Corrective Osteotomy in a Dog to Address Increased Distal Femoral Procurvatum Ascribed to a Distal Femoral Salter-Harris Type V Injury

et al. 2023

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Increased distal femoral procurvatum has been reported sporadically in dogs following malunion of Salter-Harris type I, II, and III fractures of distal femur. The resultant increased procurvatum can be poorly tolerated because of subsequent loss of stifle extension. This case report represents a dog with the increased procurvatum of the distal femur ascribed to a previous Salter-Harris type V injury. Surgical planning and successful outcome following the corrective procedures have been documented. A 6.5-month-old fox-terrier presented with a persistent weight bearing left pelvic limb lameness, 2 months after being hit by a car. The predominant orthopaedic finding was a 20-degree decrease in left stifle extension. Radiographic and computerized tomography evaluation revealed premature eccentric closure of the left distal femoral physis ascribed to a previous Salter-Harris type V injury. The left femoral procurvatum was 30 degrees. The left tibial plateau angle was increased by 11.5 degrees compared with the right. The femoral deformity was characterized, and a corrective procedure was planned using Paley's centre of rotation of angulation methodology. A cranial closing wedge ostectomy of the left distal femur was performed and stabilized using a locking plate. Proximal tibial epiphysiodesis was also performed to reduce the tibial plateau slope. Union of the osteotomy site and reduction in tibial plateau angle by 5.4 degrees were documented 50 days after surgery with a good functional outcome.

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A Clinical Study on the Use of Supracondylar Plate in the Treatment of Distal Femoral Fractures in Dogs

Pravalika

Reddy

Latha

et al. 2022

IJAR

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Background: The current study was undertaken to evaluate the clinical efficacy of supracondylar plate for repair of distal femoral fractures in dog. The distal extremity of femur is the greatest weight bearing area, supracondylar plate is an orthopaedic plate system that is pre-contoured to the complex shape of the lateral surface of the canine distal femur. Methods: The study was conducted on six dogs presented with femur fracture to the Department of Surgery and Radiology, CVSc., Hyderabad over a period of 6 months (2020-21). Diagnosis based on the clinical signs, orthopaedic examination and radiography. Three fractures in right hind limb and three in the left limb. In dogs weighing less than 10 kg (N=3) were stabilized using 2.7 mm supracondylar plate while in dogs weighing more than 10 kg (N=3), 3.5 mm supracondylar plates were used. Right supracondylar plates of 2.7 mm were used in one dog while left supracondylar plates of 2.7 mm were used in two dogs. Similarly, right supracondylar plates of 3.5 mm were used in two dogs and left supracondylar plate of 3.5 mm in one dog. All the three right were 8 H while two left were 8 H and one was 6 holed. All the dogs showed partial weight bearing from 1st post-operative day. Lameness grading on pre-operatively showed grade V. Post-operatively, five dogs progressed to grade I lameness on 60th post-operative day and one dog to grade III lameness by the end of 60th post-operative day and later progressed to grade I by 120th post-operative day. The mean lameness pre-operatively and on 1st day, 15th day, 30th day, 60th day post- operatively were found to be 5.00±0.00, 4.00±0.00, 2.00±0.25, 1.66±0.33, 1.3±0.30 and 1.00±0.00 respectively. Radiographs obtained on the 60th post-operative day revealed dense callus of reduced size; fracture line barely visible with corticomedullary remodelling. The radiographs obtained on the 90th post-operative day clearly shows complete formation of bone with distinct cortex and medulla. Primary bone healing with minimal callus formation was recorded in case 5. Result: The supracondylar plate was successfully used in the treatment of distal femur fractures in dogs. Its configuration permitted early return to function of dogs affected with distal femur fractures.

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Corrective wedge ostectomy for an atypical femoral procurvatum deformity stabilised with a supracondylar bone plate

Cited by 4 publications

References 12 publications

Simple ostectomy to address quadriceps impingement caused by distal femoral malunion in four dogs

Simple ostectomy to address quadriceps impingement caused by distal femoral malunion in four dogs

Corrective Osteotomy in a Dog to Address Increased Distal Femoral Procurvatum Ascribed to a Distal Femoral Salter-Harris Type V Injury

A Clinical Study on the Use of Supracondylar Plate in the Treatment of Distal Femoral Fractures in Dogs

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