Vet Comp Orthop Traumatol 2007; 20(01): 38-42
DOI: 10.1055/s-0037-1616586
Original Research
Schattauer GmbH

Use of transilial pinning for the treatment of sacroiliac separation in 25 dogs and finite element analysis of repair methods

W. T. McCartney
1   Marie Louise Veterinary Hospital, Baldoyle, Dublin, Republic of Ireland
2   Medical Device and Orthpaedic Research Centre (MDORC), School of Mechanical Medical and Manufacturing Engineering, Dublin City University, Glasnevin, Dublin, Republic of Ireland
,
D. Comiskey
2   Medical Device and Orthpaedic Research Centre (MDORC), School of Mechanical Medical and Manufacturing Engineering, Dublin City University, Glasnevin, Dublin, Republic of Ireland
,
B. MacDonald
2   Medical Device and Orthpaedic Research Centre (MDORC), School of Mechanical Medical and Manufacturing Engineering, Dublin City University, Glasnevin, Dublin, Republic of Ireland
› Author Affiliations
Further Information

Publication History

Received 11 November 2005

Accepted 19 July 2006

Publication Date:
21 December 2017 (online)

Summary

A retrospective study of 25 cases of sacroiliac separation showed that transilial pinning is an effective method of repair for sacroiliac separations. Only 8% of cases of sacroiliac separation had transilial pinning as the sole surgical intervention as other concomitant minor injuries, such as fractured ischium or pubis, did not require surgery. Even though pin loosening and migration along with local soft tissue irritation occurred in all cases, 92% of the cases had ‘good’ or ‘excellent’ outcomes. Sacroiliac separation heals by fibrosis, not directly by bone healing, and therefore can heal sufficiently in four weeks to allow pain free weight bearing in four weeks. Additionally, finite element modelling was undertaken to analyse micro-movement of repaired sacroiliac separations. The micro-motion analysis showed that the lag screw fixation method was more stable than the transilial fixation method since the relative motion between the two indicated that the latter allowed more unsupported iliac movement.

 
  • References

  • 1 Denny HR. Pelvic fractures inthe dog: areviewof 123 cases. J Small Anim Pract 1978; 19: 151-166.
  • 2 Jacobsen Jacobsen, Schrader SC. Peripheral nerve injury associated with fracture or fracture-dislocation of the pelvis in dogs and cats: 34 cases (1978-1982). JAmVet Med Assoc 1987; 190: 569-572.
  • 3 Denny HR. The Pelvis. In: A Guide to Canine and Feline Orthopaedics. Denny HR, Butterworth SJ. eds. Oxford: Blackwell Science; 2000: 443-445.
  • 4 DeCamp DeCamp, Braden TD. Sacroiliac fracture separation in the dog. A study of 92 cases.Vet Surg 1985; 14: 127-134.
  • 5 Tomlinson JL, Cook JL, Payne JT. et al. Closed reduction and lag screw fixation of sacro-iliac luax- ations and fractures. Vet Surg 1999; 28: 188-193.
  • 6 Leighton RL. Surgical treatment of some pelvic fractures. J Am Vet Med Assoc 1968; 153: 1739-41.
  • 7 Whittick WG. Pelvic fractures. In Canine orthopaedics. Whittick WG. (ed). Philadelphia: Lea and Febiger; 1974
  • 8 Kudnig Kudnig, Fitch RB. Transilial and transsacral brace fixation of sacral fractures and sacroiliac lu- xations(seven cases). Vet Comp Orthop Traumatol 2004; 17: 210-215.
  • 9 Betts Betts. Pelvic fractures: Textbook of small animal surgery. Slatter D. (ed). WB Saunders; 1993: 1769-1786.
  • 10 Ullmann Ullmann, Boudrieau RJ. Internal skeletal fixation using a Kirschner apparatus for stabilization of fracture/luxations of the lumbosacral joint in six dogs. A modification of the transilial technique. Vet Surg 1993; 22: 11-17.
  • 11 Comiskey DP, McCartney WT. Finite Element Modelling and Repair of a Pelvic Fracture. Engineering PRJ www.engineeringprj.com 2005; D02: 11-21.
  • 12 Moaveni S. Finite Element Analysis. New Jersey: Pearson Education; 2003
  • 13 Ferguson SJ, Wyss UP, Pichora DP. Finite element analysis of a hybrid fracture fixation plate. Med Eng Phys 1995; 18: 241-250.
  • 14 El-Shiekh HL. Finite element simulation of hip joint replacement under static and dynamic Loads. Dublin City University; Dublin: PhD thesis 2002
  • 15 McCartney WT. The design, manufacture and analysis of a new implant for fracture fixation in human and veterinary orthopaedic surgery: The bone fastenerod. Dublin City University; Dublin: PhD Thesis 2003
  • 16 Mac Donald BJ. Non linear finite element analysis of complex bulge forming processes. Dublin City University; Dublin: PhD Thesis 2000