Physics behind the implants used for high strain fractures: literature review / A Física por trás dos implantes utilizados para fraturas de alto strain: revisão de literatura

Whenever bone fractures occur, external forces produce continuous interfragmentary motion and a stabilization method is necessary. It is known that the mechanical conditions at the fracture site influence bone callus formation during healing process. To achieve primary (direct) bone healing, absolute stability at the fracture site is necessary. Perrens concept of strain determines that relative deformation at the fracture gap depends on the original gaps conformation. Simple fractures (without comminution) are considered high strain fractures since a small force applied to the fracture site results in great movement with deleterious effects on the healing process. The purpose of this study is to review the available literature regarding factors that influence the mechanics of high strain fractures in veterinary medicine, its treatment methods and implants available. Each fracture configuration requires special attention and critical care in choosing the osteosynthesis method and the type of stability required for consolidation to occur within the expected time. One must know the strain theory to become an orthopedic surgeon.

Quando fraturas ósseas ocorrem, forças externas produzem movimentação interfragmentária continuamente e um método de estabilização se faz necessário. É sabido que as condições mecânicas no local de fratura influenciam a formação de calo durante o processo de cicatrização óssea e para que cicatrização óssea primária seja obtida é necessária estabilidade absoluta no foco de fratura. O conceito de strain de Perren determina que a deformação relativa no foco de fratura estabilizado depende do tamanho da lacuna de fratura original. Fraturas redutíveis (sem cominuição) são consideradas de alto strain, pois uma pequena força aplicada a linha de fratura resulta em grande movimentação com efeito deletério ao processo de consolidação. O presente trabalho revisa a literatura disponível a respeito de fatores que influenciam a mecânica de fraturas de alto strain em medicina veterinária, seus métodos de tratamento e a física por trás dos implantes disponíveis. Cada configuração de fratura requer atenção especial e cuidado crítico na escolha do método de osteossíntese e no tipo de estabilidade necessária para que a consolidação ocorra no tempo esperado. Conhecimento da teoria do strain é mandatório para a formação de cirurgiões ortopédicos. 

Osteomyelitis after cranial cruciate ligament rupture osteotomies in dogs / Infecção óssea após osteotomia para tratamento da ruptura de ligamento cruzado em cães

Background: Nowadays, many different techniques have been used to treat cranial cruciate ligament rupture (CrCL) in dogs, being the most common ones the tibial tuberosity advancement (TTA) and the tibial plateau leveling osteotomy (TPLO). These procedures promote dynamic stabilization. In other words, they try to stabilize the knee while supporting the limb, decreasing the cranial tibial impulse, which anticipates the functions return. Among the complications observed in these kind of osteotomy, stand out the osteomyelitis, with 7,3% requency in TPLO and 6,6% in TTA. In these cases, it is necessary to remove all the implants. Most bone infections are from bacterial source, mostly caused by Staphylococcus genus. The aim of this study was to describe 14 cases of osteomyelitis in dogs after CrCL rupture corrective osteotomy. Materials, Methods & Results: This retrospective study evaluated 89 dogs (104 knees) that had undergone any of the CCLR corrective osteotomy during the period of January 2006 to November 2012. These patients were divided in TTA (n = 56), TPLO (n = 36) or CWO (closing wedge osteotomy) (n = 12). Among the 104 knees, 14 developed osteomyelitis as postoperative complication, requiring the removal of the implants. The clinical signs observed in these patients were claudication (different degrees), pain in the area of the implants, swelling and local temperatur

Diversas técnicas de osteotomia têm sido empregadas para tratamento da ruptura de ligamento cruzado cranial (RLCCr) em cães, sendo as mais utilizadas, atualmente, TTA (tibial tuberosity advancement - avanço da tuberosidade tibial) e TPLO (tibial plateau leveling osteotomy - osteotomia de nivelamento do platô tibial). Estes procedimentos promovem estabilização dinâmica, ou seja, estabilizam o joelho durante o apoio do membro diminuindo o impulso tibial cranial e permitindo retorno precoce à função. [...]

Chronic liver disease associated to copper accumulation in an american Pitbull Terrier / Hepatopatia crônica associada ao acúmulo de cobre em um cão da raça American Pitbull Terrier

Background: The liver plays a variety of essential biochemical functions such as the metabolism of carbohydrates, proteins, lipids and vitamins, the maintenance of blood glucose and bile acids synthesis. Hepatic insuffi ciency occurs when 70 to 80% of the functional liver mass is committed the liver is unable to metabolize substances on the circulation. In some cases, chronic liver disease may be associated with copper accumulation, which may occur by increased dietary intake, faults in hepatic copper metabolism or liver diseases that cause colestase. The purpose of this paper is to report a case of chronic liver disease associated with copper accumulation in a 8-month-old American Pit Bull Terrier.Case: An American Pitbull Terrier was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul with a history of abdominal distension, decreased appetite, vomiting, diarrhea, weight loss and exhaustion. On physical examination the animal presented ascites and dehydration and laboratory tests were suggestive of active liver disease. Supportive care was provided. The patient was prescribed ranitidine (2 mg/kg) VO BID for 7 days, metoclopramide (0.3 mg/kg) VO BID also for 7 days and furosemide (1 mg/kg) PO BID until further instructions while awaiting for test results. The next appointment was scheduled for ten days later but the owner came back for co

Background: The liver plays a variety of essential biochemical functions such as the metabolism of carbohydrates, proteins, lipids and vitamins, the maintenance of blood glucose and bile acids synthesis. Hepatic insuffi ciency occurs when 70 to 80% of the functional liver mass is committed the liver is unable to metabolize substances on the circulation. In some cases, chronic liver disease may be associated with copper accumulation, which may occur by increased dietary intake, faults in hepatic copper metabolism or liver diseases that cause colestase. The purpose of this paper is to report a case of chronic liver disease associated with copper accumulation in a 8-month-old American Pit Bull Terrier.Case: An American Pitbull Terrier was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul with a history of abdominal distension, decreased appetite, vomiting, diarrhea, weight loss and exhaustion. On physical examination the animal presented ascites and dehydration and laboratory tests were suggestive of active liver disease. Supportive care was provided. The patient was prescribed ranitidine (2 mg/kg) VO BID for 7 days, metoclopramide (0.3 mg/kg) VO BID also for 7 days and furosemide (1 mg/kg) PO BID until further instructions while awaiting for test results. The next appointment was scheduled for ten days later but the owner came back for co

Ascending hemorrhagic myelomalacia secondary to intervertebral disc protrusion in a dog / Mielomalácia hemorrágica ascendente secundária à protrusão de disco intervertebral em cão

Background: Myelomalacia is a multifocal syndrome that causes hemorrhagic infarction of the spinal cord that can occur as a sequel to acute spinal cord injury. It occurs as a consequence of acute spinal cord trauma, usually by extrusion of intervertebral disc in the thoracolumbar spine, affecting up to 10% of dogs with acute paralysis and deep pain loss in the pelvic limbs due to disc disease. This disease may be focal or diffuse; the diffuse form is typically associated with cranial and caudal migration of neurologic signs and is often fatal. The mechanical lesion to the spinal cord triggers secondary injury mediated by the existence of oxygen free radicals, alterations in the concentrations of neurotransmitters ions and amino acids, and it results in the reduction of the spinal cord blood fl ow, ischemia and progressive cranial and caudal necrosis to the focus of the initial injury.Case: A 5-year-old Dachshund male intact dog weighting 8 kg was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS) with initial complaint of acute paralysis of the hind limbs for two days. On clinical examination there was paraplegia, absence of deep pain in the pelvic limbs, with decreased patellar, sciatic and tibial cranial refl exes. The anal sphincter was relaxed and the bladder was easily expressed. The panniculus refl ex was intact up to t

Background: Myelomalacia is a multifocal syndrome that causes hemorrhagic infarction of the spinal cord that can occur as a sequel to acute spinal cord injury. It occurs as a consequence of acute spinal cord trauma, usually by extrusion of intervertebral disc in the thoracolumbar spine, affecting up to 10% of dogs with acute paralysis and deep pain loss in the pelvic limbs due to disc disease. This disease may be focal or diffuse; the diffuse form is typically associated with cranial and caudal migration of neurologic signs and is often fatal. The mechanical lesion to the spinal cord triggers secondary injury mediated by the existence of oxygen free radicals, alterations in the concentrations of neurotransmitters ions and amino acids, and it results in the reduction of the spinal cord blood fl ow, ischemia and progressive cranial and caudal necrosis to the focus of the initial injury.Case: A 5-year-old Dachshund male intact dog weighting 8 kg was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS) with initial complaint of acute paralysis of the hind limbs for two days. On clinical examination there was paraplegia, absence of deep pain in the pelvic limbs, with decreased patellar, sciatic and tibial cranial refl exes. The anal sphincter was relaxed and the bladder was easily expressed. The panniculus refl ex was intact up to t

Tarsometatarsal partial arthrodesis with use of circular skeletal fixator on a dog / Artrodese parcial tarsometatársica com uso de fixador esquéletico externo circular em cão

Background: Trauma to the canine foot may result in injury to soft tissue or bone or both. Foot injury often results in fractures and joint instability because of disruption to carpal or tarsal ligaments. Several fi xation methods have been described for stabilizing tarsometatarsal arthrodesis. The aim of this paper is to report the case of a unilateral tarsometatarsal arthrodesis with use of circular skeletal fi xator on the left pelvic limb of a dog.Case: A 5-year-old intact male dog weighting 25 kg was referred to the veterinary hospital with a left tarsal degloving injury. The previous history revealed that the dog had been bitten by another dog seven days prior to the referral. On physical exam it had swelling and severe pain on the left foot, crepitus of the intertarsal/tarsometatarsal region, instability, bone exposure and myiasis larvae on the wound. The dog was non-weight-bearing on the affected limb. No other abnormalities were found. Radiographs revealed it to be an open fracture of the left tarsal distal line with tarsometatarsal luxation. Adherent dressings were changed for seven days to minimize the contamination before surgery. The dog was treated by open reduction and internal fixation using a circular skeletal fixator. After general anesthesia was induced, a lateral approach to the tarsometatarsal joint was made. The tarsometatarsal joint then was exposed. Arti

Background: Trauma to the canine foot may result in injury to soft tissue or bone or both. Foot injury often results in fractures and joint instability because of disruption to carpal or tarsal ligaments. Several fi xation methods have been described for stabilizing tarsometatarsal arthrodesis. The aim of this paper is to report the case of a unilateral tarsometatarsal arthrodesis with use of circular skeletal fi xator on the left pelvic limb of a dog.Case: A 5-year-old intact male dog weighting 25 kg was referred to the veterinary hospital with a left tarsal degloving injury. The previous history revealed that the dog had been bitten by another dog seven days prior to the referral. On physical exam it had swelling and severe pain on the left foot, crepitus of the intertarsal/tarsometatarsal region, instability, bone exposure and myiasis larvae on the wound. The dog was non-weight-bearing on the affected limb. No other abnormalities were found. Radiographs revealed it to be an open fracture of the left tarsal distal line with tarsometatarsal luxation. Adherent dressings were changed for seven days to minimize the contamination before surgery. The dog was treated by open reduction and internal fixation using a circular skeletal fixator. After general anesthesia was induced, a lateral approach to the tarsometatarsal joint was made. The tarsometatarsal joint then was exposed. Arti

Tarsometatarsal partial arthrodesis with use of circular skeletal fixator on a dog / Artrodese parcial tarsometatársica com uso de fixador esquéletico externo circular em cão

Background: Trauma to the canine foot may result in injury to soft tissue or bone or both. Foot injury often results in fractures and joint instability because of disruption to carpal or tarsal ligaments. Several fi xation methods have been described for stabilizing tarsometatarsal arthrodesis. The aim of this paper is to report the case of a unilateral tarsometatarsal arthrodesis with use of circular skeletal fi xator on the left pelvic limb of a dog.Case: A 5-year-old intact male dog weighting 25 kg was referred to the veterinary hospital with a left tarsal degloving injury. The previous history revealed that the dog had been bitten by another dog seven days prior to the referral. On physical exam it had swelling and severe pain on the left foot, crepitus of the intertarsal/tarsometatarsal region, instability, bone exposure and myiasis larvae on the wound. The dog was non-weight-bearing on the affected limb. No other abnormalities were found. Radiographs revealed it to be an open fracture of the left tarsal distal line with tarsometatarsal luxation. Adherent dressings were changed for seven days to minimize the contamination before surgery. The dog was treated by open reduction and internal fixation using a circular skeletal fixator. After general anesthesia was induced, a lateral approach to the tarsometatarsal joint was made. The tarsometatarsal joint then was exposed. Arti

Background: Trauma to the canine foot may result in injury to soft tissue or bone or both. Foot injury often results in fractures and joint instability because of disruption to carpal or tarsal ligaments. Several fi xation methods have been described for stabilizing tarsometatarsal arthrodesis. The aim of this paper is to report the case of a unilateral tarsometatarsal arthrodesis with use of circular skeletal fi xator on the left pelvic limb of a dog.Case: A 5-year-old intact male dog weighting 25 kg was referred to the veterinary hospital with a left tarsal degloving injury. The previous history revealed that the dog had been bitten by another dog seven days prior to the referral. On physical exam it had swelling and severe pain on the left foot, crepitus of the intertarsal/tarsometatarsal region, instability, bone exposure and myiasis larvae on the wound. The dog was non-weight-bearing on the affected limb. No other abnormalities were found. Radiographs revealed it to be an open fracture of the left tarsal distal line with tarsometatarsal luxation. Adherent dressings were changed for seven days to minimize the contamination before surgery. The dog was treated by open reduction and internal fixation using a circular skeletal fixator. After general anesthesia was induced, a lateral approach to the tarsometatarsal joint was made. The tarsometatarsal joint then was exposed. Arti

Ascending hemorrhagic myelomalacia secondary to intervertebral disc protrusion in a dog / Mielomalácia hemorrágica ascendente secundária à protrusão de disco intervertebral em cão

Background: Myelomalacia is a multifocal syndrome that causes hemorrhagic infarction of the spinal cord that can occur as a sequel to acute spinal cord injury. It occurs as a consequence of acute spinal cord trauma, usually by extrusion of intervertebral disc in the thoracolumbar spine, affecting up to 10% of dogs with acute paralysis and deep pain loss in the pelvic limbs due to disc disease. This disease may be focal or diffuse; the diffuse form is typically associated with cranial and caudal migration of neurologic signs and is often fatal. The mechanical lesion to the spinal cord triggers secondary injury mediated by the existence of oxygen free radicals, alterations in the concentrations of neurotransmitters ions and amino acids, and it results in the reduction of the spinal cord blood fl ow, ischemia and progressive cranial and caudal necrosis to the focus of the initial injury.Case: A 5-year-old Dachshund male intact dog weighting 8 kg was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS) with initial complaint of acute paralysis of the hind limbs for two days. On clinical examination there was paraplegia, absence of deep pain in the pelvic limbs, with decreased patellar, sciatic and tibial cranial refl exes. The anal sphincter was relaxed and the bladder was easily expressed. The panniculus refl ex was intact up to t

Background: Myelomalacia is a multifocal syndrome that causes hemorrhagic infarction of the spinal cord that can occur as a sequel to acute spinal cord injury. It occurs as a consequence of acute spinal cord trauma, usually by extrusion of intervertebral disc in the thoracolumbar spine, affecting up to 10% of dogs with acute paralysis and deep pain loss in the pelvic limbs due to disc disease. This disease may be focal or diffuse; the diffuse form is typically associated with cranial and caudal migration of neurologic signs and is often fatal. The mechanical lesion to the spinal cord triggers secondary injury mediated by the existence of oxygen free radicals, alterations in the concentrations of neurotransmitters ions and amino acids, and it results in the reduction of the spinal cord blood fl ow, ischemia and progressive cranial and caudal necrosis to the focus of the initial injury.Case: A 5-year-old Dachshund male intact dog weighting 8 kg was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS) with initial complaint of acute paralysis of the hind limbs for two days. On clinical examination there was paraplegia, absence of deep pain in the pelvic limbs, with decreased patellar, sciatic and tibial cranial refl exes. The anal sphincter was relaxed and the bladder was easily expressed. The panniculus refl ex was intact up to t

Chronic liver disease associated to copper accumulation in an american Pitbull Terrier / Hepatopatia crônica associada ao acúmulo de cobre em um cão da raça American Pitbull Terrier

Background: The liver plays a variety of essential biochemical functions such as the metabolism of carbohydrates, proteins, lipids and vitamins, the maintenance of blood glucose and bile acids synthesis. Hepatic insuffi ciency occurs when 70 to 80% of the functional liver mass is committed the liver is unable to metabolize substances on the circulation. In some cases, chronic liver disease may be associated with copper accumulation, which may occur by increased dietary intake, faults in hepatic copper metabolism or liver diseases that cause colestase. The purpose of this paper is to report a case of chronic liver disease associated with copper accumulation in a 8-month-old American Pit Bull Terrier.Case: An American Pitbull Terrier was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul with a history of abdominal distension, decreased appetite, vomiting, diarrhea, weight loss and exhaustion. On physical examination the animal presented ascites and dehydration and laboratory tests were suggestive of active liver disease. Supportive care was provided. The patient was prescribed ranitidine (2 mg/kg) VO BID for 7 days, metoclopramide (0.3 mg/kg) VO BID also for 7 days and furosemide (1 mg/kg) PO BID until further instructions while awaiting for test results. The next appointment was scheduled for ten days later but the owner came back for co

Background: The liver plays a variety of essential biochemical functions such as the metabolism of carbohydrates, proteins, lipids and vitamins, the maintenance of blood glucose and bile acids synthesis. Hepatic insuffi ciency occurs when 70 to 80% of the functional liver mass is committed the liver is unable to metabolize substances on the circulation. In some cases, chronic liver disease may be associated with copper accumulation, which may occur by increased dietary intake, faults in hepatic copper metabolism or liver diseases that cause colestase. The purpose of this paper is to report a case of chronic liver disease associated with copper accumulation in a 8-month-old American Pit Bull Terrier.Case: An American Pitbull Terrier was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul with a history of abdominal distension, decreased appetite, vomiting, diarrhea, weight loss and exhaustion. On physical examination the animal presented ascites and dehydration and laboratory tests were suggestive of active liver disease. Supportive care was provided. The patient was prescribed ranitidine (2 mg/kg) VO BID for 7 days, metoclopramide (0.3 mg/kg) VO BID also for 7 days and furosemide (1 mg/kg) PO BID until further instructions while awaiting for test results. The next appointment was scheduled for ten days later but the owner came back for co

Osteomyelitis after cranial cruciate ligament rupture osteotomies in dogs / Infecção óssea após osteotomia para tratamento da ruptura de ligamento cruzado em cães

Background: Nowadays, many different techniques have been used to treat cranial cruciate ligament rupture (CrCL) in dogs, being the most common ones the tibial tuberosity advancement (TTA) and the tibial plateau leveling osteotomy (TPLO). These procedures promote dynamic stabilization. In other words, they try to stabilize the knee while supporting the limb, decreasing the cranial tibial impulse, which anticipates the functions return. Among the complications observed in these kind of osteotomy, stand out the osteomyelitis, with 7,3% requency in TPLO and 6,6% in TTA. In these cases, it is necessary to remove all the implants. Most bone infections are from bacterial source, mostly caused by Staphylococcus genus. The aim of this study was to describe 14 cases of osteomyelitis in dogs after CrCL rupture corrective osteotomy. Materials, Methods & Results: This retrospective study evaluated 89 dogs (104 knees) that had undergone any of the CCLR corrective osteotomy during the period of January 2006 to November 2012. These patients were divided in TTA (n = 56), TPLO (n = 36) or CWO (closing wedge osteotomy) (n = 12). Among the 104 knees, 14 developed osteomyelitis as postoperative complication, requiring the removal of the implants. The clinical signs observed in these patients were claudication (different degrees), pain in the area of the implants, swelling and local temperatur

Diversas técnicas de osteotomia têm sido empregadas para tratamento da ruptura de ligamento cruzado cranial (RLCCr) em cães, sendo as mais utilizadas, atualmente, TTA (tibial tuberosity advancement - avanço da tuberosidade tibial) e TPLO (tibial plateau leveling osteotomy - osteotomia de nivelamento do platô tibial). Estes procedimentos promovem estabilização dinâmica, ou seja, estabilizam o joelho durante o apoio do membro diminuindo o impulso tibial cranial e permitindo retorno precoce à função. [...]

Complications associated with ovariohysterectomy using nylon tie-rap as an hemostatic method / Complicações associadas à ovariosalpingohisterectomia eletiva realizada com abraçadeira de náilon como método de hemostasia

Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A five-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identified around the bladder and kidneys using the ultrasound exam. Intense hemorrhage from uterine vessels was found during celiotomy. A nylon tie-rap was found loose on the abdominal cavity and another couple were found at both ovaries surrounded by fibrous tissue adherence. Bilateral ovariectomy with nylon 2-0 was performed and a blood transfusion was necessary. 3- A three-years-old bitch was admitted at the HCV-UFRGS six days after OVH performed at another institution, presenting suture dehiscence and evisceration. During emergency surgery, bladder, intestine and musculature necrosis due to the contact with sharp edged nylon tie-raps (prior placed as hemostatic devices), intense fibrous tissue adherence and peritonitis were identified. 4- A two-years-old bitch was referred to the HCV-UFRGS one year after OVH performed elsewhere, with a four-month p

Background: Routine neutering of bitches is typically carried out by ovariohysterectomy (OVH) in Veterinary Medicine, seen by many as a simple procedure. During the conventional approach the points of attachment of the uterus and ovaries are double ligated with absorbable or non-absorbable sutures or even with titanium clamps. It has been described the use of non-surgical polyamide tie-raps as a hemostatic closure method by some authors but there are few papers describing the consequenses of such use. The aim of this study is to report four cases of surgical complications associated with nylon tie-raps use on OVHs on bitches referred to the Veterinary Teaching Hospitals of the Federal University of Rio Grande do Sul (HCV-UFRGS) and Passo Fundo University (HV-UPF), both at the State of Rio Grande do Sul.Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A fi ve-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identifi ed around the bladder and kidneys using t

Traumatic Panniculitis in a dog / Paniculite traumática em um cão

Background: Panniculitis can be associated with a group of multifactorial diseases that develop intense inflammatory response of the subcutaneous fat tissue. The damaged fat cells suffer hydrolysis and saponification. The etiology remains unknown, although it has been associated with infectious agents, vascular pathologies, pancreatic disorders, neoplasms, immunologic diseases and nutritional deficiencies. Nodular sterile panniculitis is referred to the fat subcutaneous tissue inflammation without the presence of microorganisms and generally is presented with multiple or single nodules associated either with systemic or traumatic issues. This assay reports a case of traumatic Panniculitis presented as a single nodule on a dog admitted at the Veterinary Teaching Hospital of Passo Fundo University (HV-UPF), State of Rio Grande do Sul, Brazil, emphasizing the clinical signs, diagnosis and surgical treatment.Case: An adult mixed breed bitch, weighting 7,5 kg, was admitted at the HV-UPF because of a one-month evolution of a dorsal thoracic subcutaneous mass. Symptomatic treatment with unknown oral antibiotics was administered by another veterinarian, who also tried to perform local puncture drainage unsuccessfully. There was no previous history of local puncture or subcutaneous drug infiltration that could explain the mass. During physical examination, a single, painless and nodular

Background: Panniculitis can be associated with a group of multifactorial diseases that develop intense inflammatory response of the subcutaneous fat tissue. The damaged fat cells suffer hydrolysis and saponification. The etiology remains unknown, although it has been associated with infectious agents, vascular pathologies, pancreatic disorders, neoplasms, immunologic diseases and nutritional deficiencies. Nodular sterile panniculitis is referred to the fat subcutaneous tissue inflammation without the presence of microorganisms and generally is presented with multiple or single nodules associated either with systemic or traumatic issues. This assay reports a case of traumatic Panniculitis presented as a single nodule on a dog admitted at the Veterinary Teaching Hospital of Passo Fundo University (HV-UPF), State of Rio Grande do Sul, Brazil, emphasizing the clinical signs, diagnosis and surgical treatment.Case: An adult mixed breed bitch, weighting 7,5 kg, was admitted at the HV-UPF because of a one-month evolution of a dorsal thoracic subcutaneous mass. Symptomatic treatment with unknown oral antibiotics was administered by another veterinarian, who also tried to perform local puncture drainage unsuccessfully. There was no previous history of local puncture or subcutaneous drug infiltration that could explain the mass. During physical examination, a single, painless and nodular

Traumatic Panniculitis in a dog / Paniculite traumática em um cão

Background: Panniculitis can be associated with a group of multifactorial diseases that develop intense inflammatory response of the subcutaneous fat tissue. The damaged fat cells suffer hydrolysis and saponification. The etiology remains unknown, although it has been associated with infectious agents, vascular pathologies, pancreatic disorders, neoplasms, immunologic diseases and nutritional deficiencies. Nodular sterile panniculitis is referred to the fat subcutaneous tissue inflammation without the presence of microorganisms and generally is presented with multiple or single nodules associated either with systemic or traumatic issues. This assay reports a case of traumatic Panniculitis presented as a single nodule on a dog admitted at the Veterinary Teaching Hospital of Passo Fundo University (HV-UPF), State of Rio Grande do Sul, Brazil, emphasizing the clinical signs, diagnosis and surgical treatment.Case: An adult mixed breed bitch, weighting 7,5 kg, was admitted at the HV-UPF because of a one-month evolution of a dorsal thoracic subcutaneous mass. Symptomatic treatment with unknown oral antibiotics was administered by another veterinarian, who also tried to perform local puncture drainage unsuccessfully. There was no previous history of local puncture or subcutaneous drug infiltration that could explain the mass. During physical examination, a single, painless and nodular

Background: Panniculitis can be associated with a group of multifactorial diseases that develop intense inflammatory response of the subcutaneous fat tissue. The damaged fat cells suffer hydrolysis and saponification. The etiology remains unknown, although it has been associated with infectious agents, vascular pathologies, pancreatic disorders, neoplasms, immunologic diseases and nutritional deficiencies. Nodular sterile panniculitis is referred to the fat subcutaneous tissue inflammation without the presence of microorganisms and generally is presented with multiple or single nodules associated either with systemic or traumatic issues. This assay reports a case of traumatic Panniculitis presented as a single nodule on a dog admitted at the Veterinary Teaching Hospital of Passo Fundo University (HV-UPF), State of Rio Grande do Sul, Brazil, emphasizing the clinical signs, diagnosis and surgical treatment.Case: An adult mixed breed bitch, weighting 7,5 kg, was admitted at the HV-UPF because of a one-month evolution of a dorsal thoracic subcutaneous mass. Symptomatic treatment with unknown oral antibiotics was administered by another veterinarian, who also tried to perform local puncture drainage unsuccessfully. There was no previous history of local puncture or subcutaneous drug infiltration that could explain the mass. During physical examination, a single, painless and nodular

Complications associated with ovariohysterectomy using nylon tie-rap as an hemostatic method / Complicações associadas à ovariosalpingohisterectomia eletiva realizada com abraçadeira de náilon como método de hemostasia

Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A five-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identified around the bladder and kidneys using the ultrasound exam. Intense hemorrhage from uterine vessels was found during celiotomy. A nylon tie-rap was found loose on the abdominal cavity and another couple were found at both ovaries surrounded by fibrous tissue adherence. Bilateral ovariectomy with nylon 2-0 was performed and a blood transfusion was necessary. 3- A three-years-old bitch was admitted at the HCV-UFRGS six days after OVH performed at another institution, presenting suture dehiscence and evisceration. During emergency surgery, bladder, intestine and musculature necrosis due to the contact with sharp edged nylon tie-raps (prior placed as hemostatic devices), intense fibrous tissue adherence and peritonitis were identified. 4- A two-years-old bitch was referred to the HCV-UFRGS one year after OVH performed elsewhere, with a four-month p

Background: Routine neutering of bitches is typically carried out by ovariohysterectomy (OVH) in Veterinary Medicine, seen by many as a simple procedure. During the conventional approach the points of attachment of the uterus and ovaries are double ligated with absorbable or non-absorbable sutures or even with titanium clamps. It has been described the use of non-surgical polyamide tie-raps as a hemostatic closure method by some authors but there are few papers describing the consequenses of such use. The aim of this study is to report four cases of surgical complications associated with nylon tie-raps use on OVHs on bitches referred to the Veterinary Teaching Hospitals of the Federal University of Rio Grande do Sul (HCV-UFRGS) and Passo Fundo University (HV-UPF), both at the State of Rio Grande do Sul.Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A fi ve-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identifi ed around the bladder and kidneys using t

Microplacas de titânio em fraturas de tibiotarso em pombos domésticos

Among the surgical problems in birds, the fractures are the most prevalent. Due to variations in size, weight, peculiar bone anatomy, high incidence of complicated fractures and functional demands of different species and individuals, it is still not possible to establish an ideal method for osteosynthesis of long bones in birds. Titanium microplates commonly used in human maxillofacial surgery have been recently employed in osteosynthesis of birds, but with few results available. The aim of this study was to evaluate the use of titanium microplates in the treatment of tibiotarsus fractures in 30 pigeons (Columba livia) , adult males and females, with 7 months old, weighing from 400 to 500. The animals were divided into 3 groups with ten animals each. In group 1, a titanium microplate with 6 holes and a central spacer was used; in group 2, a titanium microplate with 8 holes without a spacer in the center was used; in group 3, a titanium microplate with 8 holes with central spacer was used. After clinical evaluation, the birds were submitted to mid-diaphyseal osteotomy in the right bone for placement of different configurations of the titanium plate, and fixed with titanium microscrews 7mm long. The animals were evaluated clinically and radiographically until 90 days postoperatively. After this period, euthanasia was performed in 2 animals from each group. In all animals was observed bone healing and in group 1 the mean and standard deviation were 32.9±9.9 days, in group 2, 30.8±6.7 days in group 3, 26.6±6.4 days. There was no statistical difference in healing time between groups. The bending of the implant was the most common complication. The configuration of the plate resulted in a statistically significant difference in relation to walking and to the degree of bending in the different groups. Moreover, in group 3 there was higher precocity in the member suppor and a lower degree of bending in relation to other groups. Histologically, it was verified formation of the callus in all animals and presence of bone tissue around the plate and microscrews. Despite the complications of titanium microplates, they are an option for tibiotarsus osteosynthesis in birds of medium size.

Entre os problemas cirúrgicos das aves, as fraturas são os de maior prevalência. Em virtude das variações no tamanho, peso, anatomia óssea peculiar, alta incidência de fraturas complicadas e das diferentes demandas funcionais entre espécies e indivíduos, não foi possível estabelecer ainda um método ideal de osteossíntese para os ossos longos das aves. Microplacas de titânio comumente utilizadas em cirurgias maxilofaciais de humanos foram empregadas recentemente na osteossíntese de aves, porém com poucos resultados disponíveis. O objetivo do presente estudo foi avaliar a utilização das microplacas de titânio no tratamento de fraturas experimentais de tibiotarso em pombos domésticos (Columba livia). Foram utilizadas 30 aves adultas, machos e fêmeas, com 7 meses de idade, pesando entre 400 a 500 gramas. Os animais foram separados em três grupos de dez, sendo que no grupo 1 foi utilizado uma microplaca de titânio com 6 furos e espaçador central; no grupo 2, com oito furos sem espaçador central; e, no grupo 3, com oito furos com espaçador central. Após avaliação clínica, as aves foram submetidas à osteotomia médio-diafisária no tibiotarso direito para colocação das diferentes configurações de microplaca de titânio, sendo fixadas com microparafusos de titânio com 7mm de comprimento. Os animais foram avaliados clínica e radiograficamente até os 90 dias de pós-operatório. Após esse período, foi realizada eutanásia em duas aves de cada grupo. Em todas elas, foi observada a consolidação óssea, sendo que, no grupo 1, o tempo médio e o desvio padrão foram 32,9±9,9; no grupo 2, 30,8±6,7 e, no grupo 3, 26,6±6,4 dias, não havendo diferença estatística entre os grupos. O envergamento do implante foi a complicação mais frequente. A configuração da microplaca resultou em diferença estatisticamente significativa em relação à deambulação e ao grau de envergamento nos diferentes grupos, sendo que, no grupo 3, houve maior precocidade no apoio do membro e menor grau de envergamento em relação aos outros grupos. Histologicamente, foi verificada a formação de calo ósseo em todos os animais e presença de tecido ósseo ao redor da microplaca e dos microparafusos. Apesar das complicações observadas, as microplacas de titânio são uma opção para osteossíntese de tibiotarso em aves de médio porte.

Microplacas de titânio em fraturas de tibiotarso em pombos domésticos

Among the surgical problems in birds, the fractures are the most prevalent. Due to variations in size, weight, peculiar bone anatomy, high incidence of complicated fractures and functional demands of different species and individuals, it is still not possible to establish an ideal method for osteosynthesis of long bones in birds. Titanium microplates commonly used in human maxillofacial surgery have been recently employed in osteosynthesis of birds, but with few results available. The aim of this study was to evaluate the use of titanium microplates in the treatment of tibiotarsus fractures in 30 pigeons (Columba livia) , adult males and females, with 7 months old, weighing from 400 to 500. The animals were divided into 3 groups with ten animals each. In group 1, a titanium microplate with 6 holes and a central spacer was used; in group 2, a titanium microplate with 8 holes without a spacer in the center was used; in group 3, a titanium microplate with 8 holes with central spacer was used. After clinical evaluation, the birds were submitted to mid-diaphyseal osteotomy in the right bone for placement of different configurations of the titanium plate, and fixed with titanium microscrews 7mm long. The animals were evaluated clinically and radiographically until 90 days postoperatively. After this period, euthanasia was performed in 2 animals from each group. In all animals was observed bone healing and in group 1 the mean and standard deviation were 32.9±9.9 days, in group 2, 30.8±6.7 days in group 3, 26.6±6.4 days. There was no statistical difference in healing time between groups. The bending of the implant was the most common complication. The configuration of the plate resulted in a statistically significant difference in relation to walking and to the degree of bending in the different groups. Moreover, in group 3 there was higher precocity in the member suppor and a lower degree of bending in relation to other groups. Histologically, it was verified formation of the callus in all animals and presence of bone tissue around the plate and microscrews. Despite the complications of titanium microplates, they are an option for tibiotarsus osteosynthesis in birds of medium size.

Entre os problemas cirúrgicos das aves, as fraturas são os de maior prevalência. Em virtude das variações no tamanho, peso, anatomia óssea peculiar, alta incidência de fraturas complicadas e das diferentes demandas funcionais entre espécies e indivíduos, não foi possível estabelecer ainda um método ideal de osteossíntese para os ossos longos das aves. Microplacas de titânio comumente utilizadas em cirurgias maxilofaciais de humanos foram empregadas recentemente na osteossíntese de aves, porém com poucos resultados disponíveis. O objetivo do presente estudo foi avaliar a utilização das microplacas de titânio no tratamento de fraturas experimentais de tibiotarso em pombos domésticos (Columba livia). Foram utilizadas 30 aves adultas, machos e fêmeas, com 7 meses de idade, pesando entre 400 a 500 gramas. Os animais foram separados em três grupos de dez, sendo que no grupo 1 foi utilizado uma microplaca de titânio com 6 furos e espaçador central; no grupo 2, com oito furos sem espaçador central; e, no grupo 3, com oito furos com espaçador central. Após avaliação clínica, as aves foram submetidas à osteotomia médio-diafisária no tibiotarso direito para colocação das diferentes configurações de microplaca de titânio, sendo fixadas com microparafusos de titânio com 7mm de comprimento. Os animais foram avaliados clínica e radiograficamente até os 90 dias de pós-operatório. Após esse período, foi realizada eutanásia em duas aves de cada grupo. Em todas elas, foi observada a consolidação óssea, sendo que, no grupo 1, o tempo médio e o desvio padrão foram 32,9±9,9; no grupo 2, 30,8±6,7 e, no grupo 3, 26,6±6,4 dias, não havendo diferença estatística entre os grupos. O envergamento do implante foi a complicação mais frequente. A configuração da microplaca resultou em diferença estatisticamente significativa em relação à deambulação e ao grau de envergamento nos diferentes grupos, sendo que, no grupo 3, houve maior precocidade no apoio do membro e menor grau de envergamento em relação aos outros grupos. Histologicamente, foi verificada a formação de calo ósseo em todos os animais e presença de tecido ósseo ao redor da microplaca e dos microparafusos. Apesar das complicações observadas, as microplacas de titânio são uma opção para osteossíntese de tibiotarso em aves de médio porte.

Luxação lateral de patela em um Poodle toy

Background:  :  :  : Luxating patella is one of the most frequent conditions of the stifle joint in dogs and it can evolve into a degenerative joint disease. The occurrence of the condition can be medial or lateral, unilateral or bilateral. Its origin can be traumatic or congenital and, additionally, it may undergo genetic and environmental influence. Lateral luxation is more common in large breed dogs, and it can rarely affect medium and small breeds, whilst medial luxation is more common in small breed dogs. The classification of patellar luxation comprises four grades, according to the patellar position, clinical signs and seriousness of the bone deformities found. The diagnosis is made based on the clinical evaluation, associated with a radiographic evaluation. The present study aims at describing a case of bilateral grade 3 lateral luxating patella in a Toy Poodle dog. Case: A five-month-old female Toy Poodle dog was presented for difficulty standing and claudication of hind limbs. Orthopedic evaluation revealed internal rotation of the stifle, claudication of hind limbs during walking and jumps during trotting, in addition to a lateral grade 3 luxating patella and slight restriction of the joint motion upon extension of the right and left hind limbs. Radiographic evaluation of both stifles evidenced an ectopic (lateral) position of the right and left patellas. The anima

Luxação lateral de patela em um Poodle toy

Background:  :  :  : Luxating patella is one of the most frequent conditions of the stifle joint in dogs and it can evolve into a degenerative joint disease. The occurrence of the condition can be medial or lateral, unilateral or bilateral. Its origin can be traumatic or congenital and, additionally, it may undergo genetic and environmental influence. Lateral luxation is more common in large breed dogs, and it can rarely affect medium and small breeds, whilst medial luxation is more common in small breed dogs. The classification of patellar luxation comprises four grades, according to the patellar position, clinical signs and seriousness of the bone deformities found. The diagnosis is made based on the clinical evaluation, associated with a radiographic evaluation. The present study aims at describing a case of bilateral grade 3 lateral luxating patella in a Toy Poodle dog. Case: A five-month-old female Toy Poodle dog was presented for difficulty standing and claudication of hind limbs. Orthopedic evaluation revealed internal rotation of the stifle, claudication of hind limbs during walking and jumps during trotting, in addition to a lateral grade 3 luxating patella and slight restriction of the joint motion upon extension of the right and left hind limbs. Radiographic evaluation of both stifles evidenced an ectopic (lateral) position of the right and left patellas. The anima

Osteossíntese de tíbia com fixador esquelético externo em um cordeiro

Entre os avanços que a clínica e cirurgia veterinária apresentaram nos últimos anos, o tratamento de fraturas em grandes animais pode ser citado como um exemplo. A experiência, consolidada em outras espécies de menor porte, permite a tentativa de extrapolar a mesma para as espécies de maior porte, adequando-se sempre às características e particularidades de cada espécie. Atualmente, devemos considerar o tratamento de fraturas de animais de produção como uma forma de evitar o seu descarte, uma vez que, quando se trata de um animal reprodutor, devemos ter a opção de tratá-lo ao invés de decidir pela eutanásia. O presente estudo relata um caso de fratura transversa de diáfise de tíbia de membro posterior esquerdo em um cordeiro sem raça definida, com duas semanas de idade, com histórico de pisoteamento por um bovino. Foi utilizada fixação esquelética externa tipo II para a osteossíntese, obtendo-se eficiente estabilização da fratura. O animal ficou hospitalizado durante todo o período de pós-operatório e a consolidação óssea foi obtida em 30 dias.

Osteossíntese de tíbia com fixador esquelético externo em um cordeiro

Entre os avanços que a clínica e cirurgia veterinária apresentaram nos últimos anos, o tratamento de fraturas em grandes animais pode ser citado como um exemplo. A experiência, consolidada em outras espécies de menor porte, permite a tentativa de extrapolar a mesma para as espécies de maior porte, adequando-se sempre às características e particularidades de cada espécie. Atualmente, devemos considerar o tratamento de fraturas de animais de produção como uma forma de evitar o seu descarte, uma vez que, quando se trata de um animal reprodutor, devemos ter a opção de tratá-lo ao invés de decidir pela eutanásia. O presente estudo relata um caso de fratura transversa de diáfise de tíbia de membro posterior esquerdo em um cordeiro sem raça definida, com duas semanas de idade, com histórico de pisoteamento por um bovino. Foi utilizada fixação esquelética externa tipo II para a osteossíntese, obtendo-se eficiente estabilização da fratura. O animal ficou hospitalizado durante todo o período de pós-operatório e a consolidação óssea foi obtida em 30 dias.

Osteossíntese de tíbia com fixador esquelético externo em um cordeiro

Entre os avanços que a clínica e cirurgia veterinária apresentaram nos últimos anos, o tratamento de fraturas em grandes animais pode ser citado como um exemplo. A experiência, consolidada em outras espécies de menor porte, permite a tentativa de extrapolar a mesma para as espécies de maior porte, adequando-se sempre às características e particularidades de cada espécie. Atualmente, devemos considerar o tratamento de fraturas de animais de produção como uma forma de evitar o seu descarte, uma vez que, quando se trata de um animal reprodutor, devemos ter a opção de tratá-lo ao invés de decidir pela eutanásia. O presente estudo relata um caso de fratura transversa de diáfise de tíbia de membro posterior esquerdo em um cordeiro sem raça definida, com duas semanas de idade, com histórico de pisoteamento por um bovino. Foi utilizada fixação esquelética externa tipo II para a osteossíntese, obtendo-se eficiente estabilização da fratura. O animal ficou hospitalizado durante todo o período de pós-operatório e a consolidação óssea foi obtida em 30 dias.