Use of a Custom-Made Patellar Groove Replacement in an American Staffordshire Terrier Puppy with a Severe Bone Defect in the Femoral Trochlea Caused by Hematogenous Osteomyelitis
An 8-month-old male American Staffordshire terrier was referred for a no-weightbearing lameness of the right pelvic limb, hyperthermia, lethargy and inappetence. Two months before, endocarditis was diagnosed and treated in another veterinary hospital. Orthopedic, radiographic and tomographic examina...
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MDPI AG
2024-03-01
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| Series: | Animals |
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| Online Access: | https://www.mdpi.com/2076-2615/14/6/909 |
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| author | Enrico Panichi Sara Sassaroli Giorgio Maria Ciccarese Valentina Riccio Caterina Balestriere Marco Barbaccia Fulvio Cappellari Ekaterina Burkhan Angela Palumbo Piccionello |
| author_facet | Enrico Panichi Sara Sassaroli Giorgio Maria Ciccarese Valentina Riccio Caterina Balestriere Marco Barbaccia Fulvio Cappellari Ekaterina Burkhan Angela Palumbo Piccionello |
| author_sort | Enrico Panichi |
| collection | DOAJ |
| description | An 8-month-old male American Staffordshire terrier was referred for a no-weightbearing lameness of the right pelvic limb, hyperthermia, lethargy and inappetence. Two months before, endocarditis was diagnosed and treated in another veterinary hospital. Orthopedic, radiographic and tomographic examinations revealed a bone sequestrum of 4 × 1.4 cm and active periosteal reaction of the caudo-lateral cortical in the metaphysis and the distal third of the right femoral diaphysis, medullary osteolysis and interruption of the cranio-medial cortical profile, with involvement of the femoral trochlea leading to a secondary medial patella luxation. Hematogenous osteomyelitis was the suspected diagnosis. Once skeletally mature, after 4 months from surgical debridement and aggressive antibiotic therapy against Klebsiella oxytoca revealed by a bacteriological exam, the patient underwent prosthetic surgery for the application of a custom-made patellar groove replacement (PGR) to fill the bone defect and restore the femoral trochlea surface. Despite the serious injury that afflicted the right pelvic limb, the surgery had satisfactory outcomes until the last 18-month postoperative follow up. |
| first_indexed | 2024-04-24T18:37:19Z |
| format | Article |
| id | doaj.art-00cd9c20800c48fc8c466fa8a1090590 |
| institution | Directory Open Access Journal |
| issn | 2076-2615 |
| language | English |
| last_indexed | 2024-04-24T18:37:19Z |
| publishDate | 2024-03-01 |
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| spelling | doaj.art-00cd9c20800c48fc8c466fa8a10905902024-03-27T13:17:48ZengMDPI AGAnimals2076-26152024-03-0114690910.3390/ani14060909Use of a Custom-Made Patellar Groove Replacement in an American Staffordshire Terrier Puppy with a Severe Bone Defect in the Femoral Trochlea Caused by Hematogenous OsteomyelitisEnrico Panichi0Sara Sassaroli1Giorgio Maria Ciccarese2Valentina Riccio3Caterina Balestriere4Marco Barbaccia5Fulvio Cappellari6Ekaterina Burkhan7Angela Palumbo Piccionello8Orthopaedic Veterinary Trauma Center (CTO VET), Via C. Festa 9, 16011 Arenzano, ItalySchool of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione 93/95, 62024 Matelica, ItalyOrthopaedic Veterinary Trauma Center (CTO VET), Via C. Festa 9, 16011 Arenzano, ItalySchool of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione 93/95, 62024 Matelica, ItalyOrthopaedic Veterinary Trauma Center (CTO VET), Via C. Festa 9, 16011 Arenzano, ItalyOrthopaedic Veterinary Trauma Center (CTO VET), Via C. Festa 9, 16011 Arenzano, ItalyOrthopaedic Veterinary Trauma Center (CTO VET), Via C. Festa 9, 16011 Arenzano, ItalyBonabyte, Begovoy Proezd 7, 125284 Moscow, RussiaSchool of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione 93/95, 62024 Matelica, ItalyAn 8-month-old male American Staffordshire terrier was referred for a no-weightbearing lameness of the right pelvic limb, hyperthermia, lethargy and inappetence. Two months before, endocarditis was diagnosed and treated in another veterinary hospital. Orthopedic, radiographic and tomographic examinations revealed a bone sequestrum of 4 × 1.4 cm and active periosteal reaction of the caudo-lateral cortical in the metaphysis and the distal third of the right femoral diaphysis, medullary osteolysis and interruption of the cranio-medial cortical profile, with involvement of the femoral trochlea leading to a secondary medial patella luxation. Hematogenous osteomyelitis was the suspected diagnosis. Once skeletally mature, after 4 months from surgical debridement and aggressive antibiotic therapy against Klebsiella oxytoca revealed by a bacteriological exam, the patient underwent prosthetic surgery for the application of a custom-made patellar groove replacement (PGR) to fill the bone defect and restore the femoral trochlea surface. Despite the serious injury that afflicted the right pelvic limb, the surgery had satisfactory outcomes until the last 18-month postoperative follow up.https://www.mdpi.com/2076-2615/14/6/909osteomyelitiscustom-made patellar groove replacementfemoral trochlea3D-printingpatellar luxationstifle joint |
| spellingShingle | Enrico Panichi Sara Sassaroli Giorgio Maria Ciccarese Valentina Riccio Caterina Balestriere Marco Barbaccia Fulvio Cappellari Ekaterina Burkhan Angela Palumbo Piccionello Use of a Custom-Made Patellar Groove Replacement in an American Staffordshire Terrier Puppy with a Severe Bone Defect in the Femoral Trochlea Caused by Hematogenous Osteomyelitis Animals osteomyelitis custom-made patellar groove replacement femoral trochlea 3D-printing patellar luxation stifle joint |
| title | Use of a Custom-Made Patellar Groove Replacement in an American Staffordshire Terrier Puppy with a Severe Bone Defect in the Femoral Trochlea Caused by Hematogenous Osteomyelitis |
| title_full | Use of a Custom-Made Patellar Groove Replacement in an American Staffordshire Terrier Puppy with a Severe Bone Defect in the Femoral Trochlea Caused by Hematogenous Osteomyelitis |
| title_fullStr | Use of a Custom-Made Patellar Groove Replacement in an American Staffordshire Terrier Puppy with a Severe Bone Defect in the Femoral Trochlea Caused by Hematogenous Osteomyelitis |
| title_full_unstemmed | Use of a Custom-Made Patellar Groove Replacement in an American Staffordshire Terrier Puppy with a Severe Bone Defect in the Femoral Trochlea Caused by Hematogenous Osteomyelitis |
| title_short | Use of a Custom-Made Patellar Groove Replacement in an American Staffordshire Terrier Puppy with a Severe Bone Defect in the Femoral Trochlea Caused by Hematogenous Osteomyelitis |
| title_sort | use of a custom made patellar groove replacement in an american staffordshire terrier puppy with a severe bone defect in the femoral trochlea caused by hematogenous osteomyelitis |
| topic | osteomyelitis custom-made patellar groove replacement femoral trochlea 3D-printing patellar luxation stifle joint |
| url | https://www.mdpi.com/2076-2615/14/6/909 |
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