Loading...
Publication
Fratura cominutiva do fémur num cão geriátrico: aplicação a uma caso clínico
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.38 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O objetivo deste estudo consiste na apresentação e discussão de um caso clínico de uma
fractura cominutiva do fémur num cão. Pretende-se descrever os resultados obtidos nos exames
clínicos e complementares de diagnóstico (radiografia), as estratégias de resolução cirúrgica,
terapêuticas e de reabilitação funcional por fisioterapia, adaptadas a uma fratura do fémur esquerdo
de um cão geriátrico com complicações na osteossíntese, incluindo a perda de tecido ósseo e
infeção. As complicações da osteossíntese mais relevantes que podem surgir incluem o atraso na
cicatrização óssea, a pseudartrose, o calo vicioso e a osteomielite. Os animais afetados podem
apresentar dor, claudicação sem apoio do membro afetado, amiotrofia, mobilidade persistente no
local da fratura e febre em caso de infeção. No entanto, a dor e a claudicação podem, em alguns
casos, não estar presentes devido à natureza crónica das não-uniões. O diagnóstico é baseado na
anamnese, nos sinais clínicos e exames complementares de diagnóstico como a radiografia.
O animal apresentou-se com uma cicatrização retardada, perda de material ósseo e um
processo infecioso após a primeira resolução cirúrgica da fratura. Assim, na segunda osteossíntese
optou-se por combinar a colocação de uma placa e um fixador externo sob a forma de uma
montagem mista. Esta técnica permite uma rápida cicatrização óssea com um foco fraturário estável
devido a uma montagem muito rígida. Na primeira osteossíntese, o uso de um pin intramedular não
permitiu alcançar a rigidez desejada e duradoura.
Com este estudo pretende-se partilhar com a comunidade científica e médico-veterinária a
importância da escolha da técnica cirúrgica e terapêutica na resolução de fraturas e alertar para a
necessidade de adaptação das mesmas ao indivíduo, com o objetivo de reduzir as complicações da
osteossíntese e assim melhorar o prognóstico.
The objective of this study is to present and discuss a referenced clinical case. The aim is to describe the results obtained from clinical and complementary diagnostic examinations (radiography), as well as the strategies for surgical resolution, therapeutic approaches, and functional rehabilitation through physiotherapy adapted to a left femoral fracture in a geriatric dog with complications in the osteosynthesis, including bone loss and infection. The most relevant complications of osteosynthesis that may arise include delayed bone healing, nonunion, malunion, and osteomyelitis. Affected animals may exhibit pain, non-weight-bearing lameness in the affected limb, muscle atrophy, persistent mobility at the fracture site, and fever in cases of infection. However, pain and lameness may not be present in some cases due to the chronic nature of nonunions. Diagnosis is based on history, clinical signs, and complementary diagnostic examinations such as radiography. The animal presented with delayed healing, bone loss, and infection after the initial surgical resolution of the fracture. Therefore, in the second osteosynthesis, a combination of plate and external fixator in the form of a hybrid assembly was chosen. This technique allows for rapid bone healing with a stable fracture focus due to a very rigid fixation. In the first osteosynthesis, the use of an intramedullary pin does not achieve the desired and lasting rigidity. Through this study, we aim to share with the scientific and veterinary medical community the importance of choosing the appropriate surgical and therapeutic technique for fracture resolution and to raise awareness about the need for individualized adaptations to reduce osteosynthesis complications and improve the prognosis.
The objective of this study is to present and discuss a referenced clinical case. The aim is to describe the results obtained from clinical and complementary diagnostic examinations (radiography), as well as the strategies for surgical resolution, therapeutic approaches, and functional rehabilitation through physiotherapy adapted to a left femoral fracture in a geriatric dog with complications in the osteosynthesis, including bone loss and infection. The most relevant complications of osteosynthesis that may arise include delayed bone healing, nonunion, malunion, and osteomyelitis. Affected animals may exhibit pain, non-weight-bearing lameness in the affected limb, muscle atrophy, persistent mobility at the fracture site, and fever in cases of infection. However, pain and lameness may not be present in some cases due to the chronic nature of nonunions. Diagnosis is based on history, clinical signs, and complementary diagnostic examinations such as radiography. The animal presented with delayed healing, bone loss, and infection after the initial surgical resolution of the fracture. Therefore, in the second osteosynthesis, a combination of plate and external fixator in the form of a hybrid assembly was chosen. This technique allows for rapid bone healing with a stable fracture focus due to a very rigid fixation. In the first osteosynthesis, the use of an intramedullary pin does not achieve the desired and lasting rigidity. Through this study, we aim to share with the scientific and veterinary medical community the importance of choosing the appropriate surgical and therapeutic technique for fracture resolution and to raise awareness about the need for individualized adaptations to reduce osteosynthesis complications and improve the prognosis.
Description
Keywords
Dinamização Fisioterapia Osteossíntese Pseudartrose União retardada