Repair of acetabular fractures in 20 dogs using a dorsal muscle separation approach

McCartney, William; Garvan, C. B.

doi:10.1136/vr.160.24.842

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Of concern was the discrepancy in classification between observers for CT which was greater than for radiographic evaluation. Of even greater concern was the CT evaluation of fractures that are managed by surgery, such as acetabula fractures (1,9,11,(22)(23)(24)(25). Two observers' erroneously detected acetabula fractures on CT which were not present.…”

Section: Testmentioning

confidence: 99%

The role of computed tomography in the classification and management of pelvic fractures

Draffan

Clements²,

Farrell³

et al. 2009

Vet Comp Orthop Traumatol

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Computed tomography (CT) imaging is an important component in the pre-operative assessment of pelvic fractures in humans. The value of CT images in the management of small animal pelvic fractures is presently undetermined. The objective of this study was to investigate the benefits of CT images on the management of pelvic fractures. A prospective study of 25 traumatised cases of canine and feline pelvic fractures were evaluated, where CT images and conventional orthogonal radiographic assessments were performed on each case. Three diplomat orthopaedic surgeons independently reviewed the radiographs and CT images on separate occasions and determined fracture classification, management plan, estimated recovery time and prognosis. A consensus review of the imaging modalities and surgical reports was used as the definitive fracture description. For all observers, management was not found to differ significantly between radiographic and CT analysis (P< 0.05). There was moderate agreement between observers and between imaging modalities for fracture description. Greatest discrepancy was found as the fracture complexity increased, such as with acetabula and sacral fractures, whereby CT was the most sensitive. Clinically high quality radiography would be recommended for all pelvic fracture cases; CT may be beneficial where there is uncertainty, particularly with acetabula fractures or sacral fractures causing neurological deficits. Experienced orthopaedic surgeons often disagreed on the diagnosis, treatment and prognosis of pelvic trauma.

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Section: Testmentioning

confidence: 99%

The role of computed tomography in the classification and management of pelvic fractures

Draffan

Clements²,

Farrell³

et al. 2009

Vet Comp Orthop Traumatol

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“…Como alternativa à colocefalectomia e também como possibilidade de tratamento a determinadas fraturas acetabulares, a artroplastia total de quadril (prótese de quadril) tem demonstrado resultados clínicos e em placa de força satisfatórios, encorajando sua utilização como há muito tempo tem sido feito em pacientes humanos TURNER, 1983;BUDSBERG et al, 1996 (STUBBS et al, 1998;LANZ et al, 1999;TOMLINSON, 2007;ROEHSIG et al, 2008;GIORDANO, 2011 , 1977;HENRY, 1985;McCARTNEY;GARVAN, 2007). Placas ósseas são mais comumente usadas por proporcionarem a estabilidade necessária e assim permitirem a consolidação de fraturas por união óssea primária, minimizando o desenvolvimento de osteoartrite pós-traumática (WHEATON et al, 1973;HULSE, 1990;HENRY, 1985;BRADEN;PRIEUR, 1986;HULSE, 1990;BETTS, 1993 LAYTON, 1990) Essas dificuldades em se conseguir redução anatômica perfeita, pode explicar parcialmente a presença de doença articular degenerativa em 8 dos 11 cães que tiveram fraturas do acetábulo estabilizadas com PAV (ANSON et al, 1988).…”

Section: Diagnóstico Por Imagem E Classificaçãounclassified

Comparação biomecânica e da redução óssea do Clamp and Rod Internal Fixation e placa de reconstrução bloqueada em fraturas de acetábulo

Bregadioli¹

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Repair of acetabular fractures in 20 dogs using a dorsal muscle separation approach

Cited by 2 publications

References 8 publications

The role of computed tomography in the classification and management of pelvic fractures

The role of computed tomography in the classification and management of pelvic fractures

<b>Comparação biomecânica e da redução óssea do <i>Clamp</i> <i>and Rod Internal Fixation</i> e placa de reconstrução bloqueada em fraturas de acetábulo</b>

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