PESQUISA VETERINÁRIA BRASILEIRA

Abstract in English:

ABSTRACT.- Carneiro L.Z., Mistieri M.L.A., Cauduro C.R., Rosa A.F. & Pascon J.P.E. 2017. [Interlocking nail system in comparison with dynamic compression plate in the stabilization of intertrochanteric varus osteotomy in dogs: study in cadavers.] Haste intramedular bloqueada em comparação com placa de compressão dinâmica na estabilização de osteotomia intertrocantérica varizante em cães: estudo ex vivo. Pesquisa Veterinária Brasileira 37(12):1474-1478. Hospital Universitário Veterinário, Universidade Federal do Pampa, BR-472 Km 592, Uruguaiana, RS 97508-000, Brazil. E-mail: malimistieri@gmail.com Considering the advantages of the interlocking intramedullary nail (IN) in relation to bone plates in the femoral stabilization, this study aimed to evaluate the feasibility and effectiveness of IN application post intertrochanteric varus osteotomy (IVO). For this purpose, 10 canines cadavers were used. On the left femurs, the fixation was obtained with IN (IN group) and rights fixed with dynamic compression plates and screws (plate group). Was compared the angles of Norberg and inclination of the head and femoral neck (IHF) before (T0) and after (T1) IVO. The results of time spent for placement of implants and biomechanical resistance to compression and torsion were also confronted between groups. There was an increase of the Norberg angle between T0 (106.84±5.55o) and T1 (111.22o±3.89), only in IN group (p<0.05). However, reduction of IHF angle after IVO (T1) was observed in both, the plate group (T0=127.6±4.70o e T1=110.06±10.61o, p<0.05) and IN group (T0=126.43±5.87o e T1=116.87± 8.62 o, p<0.05). The placement times of the implants did not differ statistically and only the compression biomechanical test revealed differences between groups, with greater resistance (P=0.033) of the plate group (863.3±74.46N/mm) compared to IN group (586.7±44.10N/mm). Thus, stabilization through IN was feasible and effective. Although the compression biomechanical results has demonstrated a higher fragility of IN in relation to the compression plate, their values are above the forces, reported in literature, acting in normal dog gait.

• Interlocking nail system compression plate orthopedics hip dysplasia haste intramedular bloqueada placa de compressão dinâmica displasia coxofemoral

Abstract in Portuguese:

RESUMO.- Carneiro L.Z., Mistieri M.L.A., Cauduro C.R., Rosa A.F. & Pascon J.P.E. 2017. [Interlocking nail system in comparison with dynamic compression plate in the stabilization of intertrochanteric varus osteotomy in dogs: study in cadavers.] Haste intramedular bloqueada em comparação com placa de compressão dinâmica na estabilização de osteotomia intertrocantérica varizante em cães: estudo ex vivo. Pesquisa Veterinária Brasileira 37(12):1474-1478. Hospital Universitário Veterinário, Universidade Federal do Pampa, BR-472 Km 592, Uruguaiana, RS 97508-000, Brazil. E-mail: malimistieri@gmail.com Tendo em vista as vantagens das hastes intramedulares bloqueadas (HIB) em relação às placas ósseas na estabilização femoral, o presente estudo objetivou avaliar a exequibilidade e eficácia da aplicação da HIB pós osteotomia intertrocantérica varizante (OIV). Submeteu-se 10 cadáveres caninos à OIV. Nos antímeros esquerdos obteve-se a estabilização por meio de HIB (grupo HIB) e, nos direitos, com placas de compressão dinâmica (grupo placa). Foram comparados os ângulos de Norberg e de inclinação da cabeça e colo femoral (ICF) antes (T0) e após (T1) a OIV. O tempo dispendido para a colocação dos implantes e resultados de resistência biomecânica à compressão e torção também foram confrontados entre os grupos. Houve aumento do ângulo de Norberg entre T0 (106,84±5,55o) e T1 (111,22o±3,89), apenas no grupo HIB (p<0,05). No entanto, redução do ângulo de ICF após OIV (T1) foi observada tanto no grupo placa (T0=127,6±4,70o e T1=110,06±10,61o, p<0,05) quanto no grupo HIB (T0=126,43±5,87o e T1=116,87±8,62o, p<0,05). Os tempos de colocação dos implantes não diferiram estatisticamente e apenas o teste biomecânico de compressão revelou diferença entre os grupos, com maior resistência (P=0,033) do grupo placa (863,3±74,46N/mm) em relação ao grupo HIB (586,7±44,10N/mm). Deste modo, a estabilização por meio de HIB foi factível e eficaz. Embora o resultado biomecânico de compressão tenha demonstrado maior fragilidade da HIB em relação à placa de compressão, seus valores estão acima das forças atuantes, reportadas na literatura, na deambulação normal de cão.

Abstract in English:

ABSTRACT.- Romano L., Ferrígno C.R.A., Ferraz,V.C.M. Della Nina M., Ito K.C. 2008. [Evaluation of the use of interlocking nail and transcortical blockade for the repair of diaphyseal fractures of the femur in cats.] Avaliação do uso de haste bloqueada e bloqueio transcortical no reparo de fraturas diafisárias de fêmur em felinos. Pesquisa Veterinária Brasileira 28(4):201-206. Departamento de Cirurgia do Hospital Veterinário, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Avenida Prof. Dr. Orlando Marques de Paiva 87, São Paulo, SP 05508-270, Brazil. E-mail: lromano@usp.br Interlocking nails allow rigid fracture stabilization and present biomechanical advantages when compared to other immobilization techniques. It acts along the central mechanical axis of the bone and preserves biological concept standards for osteosynthesis. The use of interlocking nail in cats is limited because the intramedullary space is relatively small for the available nail sizes. We reported 10 cases of cats that had simple or multiple closed fractures of the femoral diaphysis. The animals weighed 3.5 to 5 kg , which allowed using nails of 4.0mm and 4.7mm in diameter. For the nail insertion, retrograde and normograde routs were used, and four 2mm titanium screws were used to lock all the perforations. No trans-surgical complication occurred, however, due to a new trauma, one of the animals suffered femoral neck fracture and transversal distal fracture to the nail, three days after surgery. Radiographies were made up to four months after surgery, and in most cases secondary bone formation was seen, showing bone consolidation in 61-89 days, excluding the animal who suffered new trauma, who presented bone healing in 150 days. Clinically, occasional lameness occurred; however, except for the animal that had new trauma, all animals initiated adequate limb support in 3 to 8 days after surgery. In conclusion, the use of 4.0mm and 4.7mm interlocking nails in felines was adequate, with bone healing in all cases, and also return of good limb function after surgery.

• Fractures interlocking nail surgery cats

Abstract in Portuguese:

ABSTRACT.- Romano L., Ferrígno C.R.A., Ferraz,V.C.M. Della Nina M., Ito K.C. 2008. [Evaluation of the use of interlocking nail and transcortical blockade for the repair of diaphyseal fractures of the femur in cats.] Avaliação do uso de haste bloqueada e bloqueio transcortical no reparo de fraturas diafisárias de fêmur em felinos. Pesquisa Veterinária Brasileira 28(4):201-206. Departamento de Cirurgia do Hospital Veterinário, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Avenida Prof. Dr. Orlando Marques de Paiva 87, São Paulo, SP 05508-270, Brazil. E-mail: lromano@usp.br Interlocking nails allow rigid fracture stabilization and present biomechanical advantages when compared to other immobilization techniques. It acts along the central mechanical axis of the bone and preserves biological concept standards for osteosynthesis. The use of interlocking nail in cats is limited because the intramedullary space is relatively small for the available nail sizes. We reported 10 cases of cats that had simple or multiple closed fractures of the femoral diaphysis. The animals weighed 3.5 to 5 kg , which allowed using nails of 4.0mm and 4.7mm in diameter. For the nail insertion, retrograde and normograde routs were used, and four 2mm titanium screws were used to lock all the perforations. No trans-surgical complication occurred, however, due to a new trauma, one of the animals suffered femoral neck fracture and transversal distal fracture to the nail, three days after surgery. Radiographies were made up to four months after surgery, and in most cases secondary bone formation was seen, showing bone consolidation in 61-89 days, excluding the animal who suffered new trauma, who presented bone healing in 150 days. Clinically, occasional lameness occurred; however, except for the animal that had new trauma, all animals initiated adequate limb support in 3 to 8 days after surgery. In conclusion, the use of 4.0mm and 4.7mm interlocking nails in felines was adequate, with bone healing in all cases, and also return of good limb function after surgery.