Treatment of a Large Defect Induced by Atrophic Nonunion of Femoral Fracture in a Dog with Autogenous Coccygeal Bone Grafting
An 11-month-old castrated male Pomeranian presented with nonunion following a femoral fracture that occurred after femoral head and neck osteotomy. Radiography and computed tomography revealed severe atrophy of the proximal bone fragment and retardation of the ipsilateral distal fragment and tibia....
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| Format: | Article |
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MDPI AG
2023-06-01
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| Series: | Veterinary Sciences |
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| Online Access: | https://www.mdpi.com/2306-7381/10/6/388 |
| _version_ | 1797592342401646592 |
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| author | Kyuman Cho Kilsang Lee Kyungsik Kang Minkyung Kim |
| author_facet | Kyuman Cho Kilsang Lee Kyungsik Kang Minkyung Kim |
| author_sort | Kyuman Cho |
| collection | DOAJ |
| description | An 11-month-old castrated male Pomeranian presented with nonunion following a femoral fracture that occurred after femoral head and neck osteotomy. Radiography and computed tomography revealed severe atrophy of the proximal bone fragment and retardation of the ipsilateral distal fragment and tibia. An autogenous bone graft using coccygeal bone was performed, in which three and a half coccyges were placed in succession and fixed using an orthogonal locking plate. To promote bone healing and facilitate proper weight bearing and ambulation, bone morphogenetic proteins, biphasic calcium phosphate, platelet-rich plasma, passive-range-of-motion exercises, transcutaneous electrical nerve stimulation, neuromuscular electrical stimulation, and low-level laser therapy were applied. During the four-year follow-up, it was observed that the previously engrafted bone healed well and maintained stability over a prolonged period, resulting in the patient being able to walk comfortably with good outcomes. However, some degree of lameness was noted in the dog when running owing to limb shortening and joint contracture. |
| first_indexed | 2024-03-11T01:50:45Z |
| format | Article |
| id | doaj.art-22b988bbb4114b7d846c2cab4c0124bb |
| institution | Directory Open Access Journal |
| issn | 2306-7381 |
| language | English |
| last_indexed | 2024-03-11T01:50:45Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Veterinary Sciences |
| spelling | doaj.art-22b988bbb4114b7d846c2cab4c0124bb2023-11-18T13:00:11ZengMDPI AGVeterinary Sciences2306-73812023-06-0110638810.3390/vetsci10060388Treatment of a Large Defect Induced by Atrophic Nonunion of Femoral Fracture in a Dog with Autogenous Coccygeal Bone GraftingKyuman Cho0Kilsang Lee1Kyungsik Kang2Minkyung Kim3Chokyuman Vet Surgical Center, Bucheon 14624, Republic of KoreaChokyuman Vet Surgical Center, Bucheon 14624, Republic of KoreaChokyuman Vet Surgical Center, Bucheon 14624, Republic of KoreaKeunmaum Animal Medical Center, Busan 48096, Republic of KoreaAn 11-month-old castrated male Pomeranian presented with nonunion following a femoral fracture that occurred after femoral head and neck osteotomy. Radiography and computed tomography revealed severe atrophy of the proximal bone fragment and retardation of the ipsilateral distal fragment and tibia. An autogenous bone graft using coccygeal bone was performed, in which three and a half coccyges were placed in succession and fixed using an orthogonal locking plate. To promote bone healing and facilitate proper weight bearing and ambulation, bone morphogenetic proteins, biphasic calcium phosphate, platelet-rich plasma, passive-range-of-motion exercises, transcutaneous electrical nerve stimulation, neuromuscular electrical stimulation, and low-level laser therapy were applied. During the four-year follow-up, it was observed that the previously engrafted bone healed well and maintained stability over a prolonged period, resulting in the patient being able to walk comfortably with good outcomes. However, some degree of lameness was noted in the dog when running owing to limb shortening and joint contracture.https://www.mdpi.com/2306-7381/10/6/388nonunionfemoral fractureautograftcoccygeal boneplatelet-rich plasmadog |
| spellingShingle | Kyuman Cho Kilsang Lee Kyungsik Kang Minkyung Kim Treatment of a Large Defect Induced by Atrophic Nonunion of Femoral Fracture in a Dog with Autogenous Coccygeal Bone Grafting Veterinary Sciences nonunion femoral fracture autograft coccygeal bone platelet-rich plasma dog |
| title | Treatment of a Large Defect Induced by Atrophic Nonunion of Femoral Fracture in a Dog with Autogenous Coccygeal Bone Grafting |
| title_full | Treatment of a Large Defect Induced by Atrophic Nonunion of Femoral Fracture in a Dog with Autogenous Coccygeal Bone Grafting |
| title_fullStr | Treatment of a Large Defect Induced by Atrophic Nonunion of Femoral Fracture in a Dog with Autogenous Coccygeal Bone Grafting |
| title_full_unstemmed | Treatment of a Large Defect Induced by Atrophic Nonunion of Femoral Fracture in a Dog with Autogenous Coccygeal Bone Grafting |
| title_short | Treatment of a Large Defect Induced by Atrophic Nonunion of Femoral Fracture in a Dog with Autogenous Coccygeal Bone Grafting |
| title_sort | treatment of a large defect induced by atrophic nonunion of femoral fracture in a dog with autogenous coccygeal bone grafting |
| topic | nonunion femoral fracture autograft coccygeal bone platelet-rich plasma dog |
| url | https://www.mdpi.com/2306-7381/10/6/388 |
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