Authors:
Citation: Jekinakatti KM, Manjunatha DR, Vilas D, Nagaraju N, Mulage KS and Ramya NM, 2024. Treatment of coxofemoral dislocation and short oblique mid shaft tibial fracture by modified toggle pin technique with locking compression plate method in a dog. Indian J Anim Health, doi: https://doi.org/10.36062/ijah.2024.04424
Abstract
A one-year old, male, non-descriptive dog weighing 16 kg was presented to the Veterinary Hospital, Veterinary College, Hassan with a history of an automobile accident, with limping on right hind limb. Physical examination revealed shortening of right hind limb along with swelling and pain on palpation of hip joint and tibia. Orthopaedic and radiographic examinations revealed cranio-dorsal hip dislocation and complete, short oblique, mid diaphyseal tibial fracture of right limb. Under general anaesthesia, coxofemoral dislocation was corrected using toggle pin (1.5 mm K-wire) and nylon thread (1 mm diameter) via caudo-dorsal approach. A 3.5, 10 hole locking compression plating (LCP) was done to stabilize the tibial fracture. Postoperative radiographs revealed proper relocation of coxofemoral joint and apposition of tibial fragments. The animal started using limb on the second postoperative day with slight lameness and without lameness by the 15th postoperative day. The animal recovered uneventfully with excellent weight bearing. In conclusion, toggle pin technique and LCP were found to be effective methods for the repair of coxofemoral dislocation and tibial fracture.
Reference
Abd El Raouf M, Ezzeldein SA and Eisa EFM, 2019. Bone fractures in dogs: A retrospective study of 129 dogs. Iraqi J Vet Sci, 33(2): 401-405, doi: 10.33899/ijvs.2019.163086
Cetinkaya MA and Olcay B, 2010. Modified Knowles toggle pin technique with nylon monofilament suture material for treatment of two caudoventral hip luxation cases. Vet Comp Orthop Traumatol, 23(2): 114-118, doi: 10.3415/VCOT-09-03-0027
Egol KA, Kubiak EN, Fulkerson E, Kummer FJ and Koval KJ, 2004. Biomechanics of locked plates and screws. J Orthop Trauma, 18(8): 488-493, doi: 10.1097/00005131-200409000-00003
Ergin I, Senel OO, Ozdemir O, Ulusan S and Bilgili H, 2016. Treatment of coxofemoral luxations by double-sided modified toggle pin technique and assessment of early results in cats: 17 cases. Ank Univ Vet Fak Derg, 63(2): 121-126, doi: 10.1501/vetfak_0000002719
Haaland PJ, Sjostrom L, Devor M and Haug A, 2009. Appendicular fracture repair in dogs using the locking compression plate system: 47 cases. Vet Comp Orthop Traumatol, 22(4): 309-315, doi: 10.3415/VCOT08-05-0044
Jordan BA, Lozier JW, Lakritz J and Niehaus AJ, 2023. Biomechanical properties of an implant designed to stabilize the coxofemoral joint following luxation show dissimilarity to the native ligament of the head of the femur in cattle. Am J Vet Res, 84(1): 1-8, doi: 10.2460/ajvr.22.05.0080
Kilic E, Ozaydin I, Atalan G and Baran V, 2002. Transposition of the sacrotuberous ligament for the treatment of coxofemoral luxation in dogs. J Small Anim Pract, 43(8): 341-344, doi: 10.1111/j.1748-5827.2002.tb00083.x
Shivakumar E, 2015. Studies on percutaneous transfemoro-acetabular nylon wiring for traumatic hip luxation in companion animals. MVSc Thesis, Karnataka Veterinary, Animal and Fisheries Science University, Bidar, India
Sirin SO, Kaya U and Olcay B, 2013. Clinical and radiological outcomes of locking compression plate system in dogs with diaphyseal fractures: 32 cases. Kafkas Univ Vet Fak Derg, 19: 13-18, doi: 10.9775/kvfd.2012.7405
Tamburro R, Pratesi A, Carli F, Collivignarelli F, Bianchi A et al., 2022. Traumatic coxofemoral luxation in cats treated with hip-toggle stabilization using the mini tightrope® fixation system. Acta Vet, 72(3): 300-308, doi: 10.2478/acve-2022-0024