Use of Epiphysiodesis as Treatment for a Proximal Physeal Tibial Fracture in a Dog

Abstract

Objective The aim of this study was to describe the use of epiphysiodesis by the means of a screw to treat a proximal tibial Salter–Harris II fracture associated with a tibial tuberosity avulsion in a 4.5-month-old Airedale Terrier.

Study design A healing proximal tibial epiphyseal fracture was observed after a 10-day period. Tibial plateau angle was 40°. The fracture was treated by the insertion of a fluoroscopy-guided 3.5-mm cancellous screw.

Results Successful healing of fractures and levelling of tibia plateau were obtained. Final tibial plateau angle was 8°. At long-term follow-up (18 months), owners reported sustained and full functional recovery.

Conclusion Prior to ossification of the proximal tibial physis, epiphysiodesis with a screw can be used as a treatment of sub-acute, moderately displaced, Salter–Harris I or II fractures.

Keywords

tibial plateau slope - epiphysiodesis - growing dogs - Salter–Harris II fracture

Author Contribution

Pierre P. Picavet, Martin Hamon and Marc Balligand contributed to the acquisition of data, data analysis and interpretation. Bernard Bouvy and Michael Lefebvre contributed to the conception of the study and study design, acquisition of data, and data analysis and interpretation. All authors drafted and revised and approved the submitted manuscript.

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