Colocefalectomia para o tratamento de fratura fisária da cabeça do fêmur em pônei / Colocephalectomy for the treatment of capital physeal fracture of the femoral head in pony

Background: Femoral capital physeal fractures occur in young animals and are generally associated with trauma. They have apoor prognosis and surgical therapy is the most indicated. There are few studies describing surgical treatment and postoperative results, so the objective of the present report was to present the first case in Brazil of a colocefalectomy for the treatmentof femoral capital physeal fracture in a young pony, the post-surgical and the results obtained with the technique employed.Case: An 18-month-old pony, male, not castrated, , weighing 136 kg was referred to the Veterinary Hospital of the FederalUniversity of Paraná (HV-UFPR) with a history of trauma for 4 days. On physical examination, the animal presented lamenessgrade 5 of the right pelvic limb, shortening and lateral deviation of the limb, crackling and painful sensation on abduction, andslight atrophy of the gluteal muscles on the affected side. In the radiographic examination, a femoral capital physeal fracturewas found in the oblique ventro-dorsal projection. Once the diagnosis was performed, a colocefalectomy was realized, as thepatient is a light and short horse. The patient underwent general anesthesia and was placed in the left lateral position. The accessto the coxofemoral joint was made through the lateral face of the right hindlimb. The muscles of the region were incised anddeviated, so a partial myotomy was performed in the deep gluteal and vastus lateralis. This procedure allowed to visualize thefracture, where the head of the femur remained congruent to the acetabulum. A hammer and a curved osteotome were usedto section the round ligament, allowing the dislocation of the femoral head and with the aid of an oscillating orthopedic sawwas performed the femoral neck ostectomy. Previously to the synthesis of the muscular planes and the skin, a passive tubular...(AU)

Colocefalectomia para o tratamento de fratura fisária da cabeça do fêmur em pônei / Colocephalectomy for the treatment of capital physeal fracture of the femoral head in pony

Background: Femoral capital physeal fractures occur in young animals and are generally associated with trauma. They have apoor prognosis and surgical therapy is the most indicated. There are few studies describing surgical treatment and postoperative results, so the objective of the present report was to present the first case in Brazil of a colocefalectomy for the treatmentof femoral capital physeal fracture in a young pony, the post-surgical and the results obtained with the technique employed.Case: An 18-month-old pony, male, not castrated, , weighing 136 kg was referred to the Veterinary Hospital of the FederalUniversity of Paraná (HV-UFPR) with a history of trauma for 4 days. On physical examination, the animal presented lamenessgrade 5 of the right pelvic limb, shortening and lateral deviation of the limb, crackling and painful sensation on abduction, andslight atrophy of the gluteal muscles on the affected side. In the radiographic examination, a femoral capital physeal fracturewas found in the oblique ventro-dorsal projection. Once the diagnosis was performed, a colocefalectomy was realized, as thepatient is a light and short horse. The patient underwent general anesthesia and was placed in the left lateral position. The accessto the coxofemoral joint was made through the lateral face of the right hindlimb. The muscles of the region were incised anddeviated, so a partial myotomy was performed in the deep gluteal and vastus lateralis. This procedure allowed to visualize thefracture, where the head of the femur remained congruent to the acetabulum. A hammer and a curved osteotome were usedto section the round ligament, allowing the dislocation of the femoral head and with the aid of an oscillating orthopedic sawwas performed the femoral neck ostectomy. Previously to the synthesis of the muscular planes and the skin, a passive tubular...

Artrodese metatarsofalângica por meio da técnica do cesto de aço modificada em potro / Metatarsophalangeal arthrodesis through the modified steel basket technique in foal

Background: The metacarpophalangeal and metatarsophalangeal joints are very demanded during high intensity exercises,and may be affected by osteoarthritis, fractures, luxations and rupture of the suspensory apparatus. Thus, arthrodesis maybe indicated to restore joint stability and accelerate the ankylosis process. The most commonly used surgical techniqueshave been associated with postoperative complications, including infection and failure of the implants, so it is importantto develop procedures that are less invasive procedures and promoting stable fixation. Therefore, the aim of this work isto report the use of the modified steel basket technique for metatarsophalangeal arthrodesis in a foal with hyperextensionof the joint due to rupture of the digital flexor muscles.Case: A 2-day-old male foal was admitted to clinical care, presenting multiple cutaneous wounds caused by dogs bites,located in the tarsus and thigh of the hindlimb. The animal presented in standing position and had no difficulty of movement,being initially treated through daily cleaning of the cutaneous wounds and systemic antibiotic therapy. Hyperextension ofthe metatarsophalangeal joint was evidenced after 20 days, being approached through tenotomy and tendon shortening,followed by tenorrhaphy and immobilization for 30 days. Due to the failure of the treatment, it was opted for metatarsophalangeal arthrodesis by modified steel basket technique. The procedure involved the implantation of a steel basket of25.0 mm in diameter x 25.0 mm long in a 24.0 mm hole created on the dorsal surface between the third metacarpal andthe proximal phalanx. The basket was filled with bone extracted from drilling and fixed with two cortical screws at anangle of 25° toward proximoplantar and distoplantar direction. Immobilization of the limb was performed postoperativelywith synthetic plaster cast for 45 days and, due to the persistence of lameness...(AU)

Artrodese metatarsofalângica por meio da técnica do cesto de aço modificada em potro / Metatarsophalangeal arthrodesis through the modified steel basket technique in foal

Background: The metacarpophalangeal and metatarsophalangeal joints are very demanded during high intensity exercises,and may be affected by osteoarthritis, fractures, luxations and rupture of the suspensory apparatus. Thus, arthrodesis maybe indicated to restore joint stability and accelerate the ankylosis process. The most commonly used surgical techniqueshave been associated with postoperative complications, including infection and failure of the implants, so it is importantto develop procedures that are less invasive procedures and promoting stable fixation. Therefore, the aim of this work isto report the use of the modified steel basket technique for metatarsophalangeal arthrodesis in a foal with hyperextensionof the joint due to rupture of the digital flexor muscles.Case: A 2-day-old male foal was admitted to clinical care, presenting multiple cutaneous wounds caused by dogs bites,located in the tarsus and thigh of the hindlimb. The animal presented in standing position and had no difficulty of movement,being initially treated through daily cleaning of the cutaneous wounds and systemic antibiotic therapy. Hyperextension ofthe metatarsophalangeal joint was evidenced after 20 days, being approached through tenotomy and tendon shortening,followed by tenorrhaphy and immobilization for 30 days. Due to the failure of the treatment, it was opted for metatarsophalangeal arthrodesis by modified steel basket technique. The procedure involved the implantation of a steel basket of25.0 mm in diameter x 25.0 mm long in a 24.0 mm hole created on the dorsal surface between the third metacarpal andthe proximal phalanx. The basket was filled with bone extracted from drilling and fixed with two cortical screws at anangle of 25° toward proximoplantar and distoplantar direction. Immobilization of the limb was performed postoperativelywith synthetic plaster cast for 45 days and, due to the persistence of lameness...