Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00035023.xml
Download PDF
Vet Comp Orthop Traumatol 2013; 26(06): 505-509
DOI: 10.3415/VCOT-13-01-0006
DOI: 10.3415/VCOT-13-01-0006
Case Report
Orthogonal bone plate stabilization for limb-sparing surgery
Further Information
Publication History
Received:
09 January 2013
Accepted:
12 August 2013
Publication Date:
04 January 2018 (online)
Summary
This report describes limb-sparing surgery in a 35 kg, six-year-old Hungarian Vizsla with a distal radial lytic bone lesion. Preoperative biopsy had suggested a bone cyst, however histopathology on the excised bone segment was indicative of an osteosarcoma. Following excision of the tumour, the bone defect was filled with a composite bone graft and stabilized with a custom-made dorsal 3.5/2.7 mm pancarpal arthrodesis plate and an orthogonally positioned medial 2.7 mm compression plate. This technique has not previously been described for limb-sparing procedures. No complications were encountered, and despite the owners declining adjunctive chemotherapy, the dog was alive 34 months postoperatively with near normal limb function.
-
References
- 1 Withrow SJ, Powers BE, Straw RC. et al. Comparative aspects of osteosarcoma. Dog versus man. Clin Orthop Relat Res 1991; 270: 159-168.
- 2 Boston S. Musculoskeletal Neoplasia and Limb-Sparing Surgery. In: Tobias KM, Johnston SA. editors. Veterinary Surgery: Small Animal. St. Louis: Elsevier Saunders; 2012. p. 2012-1159.
- 3 Garzotto C, Berg J. Oncology: Muculoskeletal System. In: Slatter D. editor. Textbook of Small Animal Surgery. Philadelphia: Saunders; 2003. p. 2003-2460.
- 4 Kirpensteijn J, van den, Bos R, van den Brom WE. et al. Ground reaction force analysis of large breed dogs when walking after the amputation of a limb. Vet Rec 2000; 146: 155-159.
- 5 Kirpensteijn J, van den, Bos R, Endenburg N. Adaptation of dogs to the amputation of a limb and their owners' satisfaction with the procedure. Vet Rec 1999; 144: 115-118.
- 6 Dernell WS. Limb Sparing Surgery for Dogs with Bone Neoplasia. In: Slatter D. editor. Textbook of Small Animal Surgery. Philadelphia: Saunders; 2003. p. 2003-2272.
- 7 Liptak JM, Dernell WS, Ehrhart N. et al. Cortical allograft and endoprosthesis for limb-sparing surgery in dogs with distal radial osteosarcoma: a prospective clinical comparison of two different limb-sparing techniques. Vet Surg 2006; 35: 518-533.
- 8 Towle HA, Breur GJ. Miscellaneous Orthopedic Conditions. In: Tobias KM, Johnston SA. editors. Veterinary Surgery Small Animal. St. Louis: Elsevier Saunders; 2012. p. 2012-1112.
- 9 MacInnes TJ, Thompson MS, Lewis DD. What is your diagnosis. J Am Vet Med Assoc 2005; 227: 1561-2.
- 10 Stickle R, Flo G, Render J. Radiographic diagnosis–benign bone cyst. Vet Radiol Ultrasound 1999; 40: 365-6.
- 11 Montgomery R. Miscellaneous Orthopaedic Diseases. In: Slatter D. editor. Textbook of Small Animal Surgery. Philadelphia: Saunders; 2003. p. 2003-2251.
- 12 Piermattei DL, Johnson KA. An Atlas of Surgical Approaches to Bones and Joints of the Dog and Cat. St. Louis: Elsevier Saunders; 2004
- 13 Lesser AS. Arthrodesis. In: Slatter D. editor. Textbook of Small Animal Surgery. Philadelphia: Saunders; 2003. p. 2003-2170.
- 14 Kirpensteijn J, Kik M, Rutteman GR. et al. Prognostic significance of a new histologic grading system for canine osteosarcoma. Vet Pathol 2002; 39: 240-246.
- 15 Andreoni AA, Rytz U, Vannini R. et al. Ground reaction force profiles after partial and pancarpal arthrodesis in dogs. Vet Comp Orthop Traumatol 2010; 23: 1-6.
- 16 Powers BE, LaRue SM, Withrow SJ. et al. Jamshidi needle biopsy for diagnosis of bone lesions in small animals. J Am Vet Med Assoc 1988; 193: 205-210.
- 17 Ehrhart N. Longitudinal bone transport for treatment of primary bone tumors in dogs: technique description and outcome in 9 dogs. Vet Surg 2005; 34: 24-34.
- 18 Hodge SC, Degner D, Walshaw R. et al. Vascularized ulnar bone grafts for limb-sparing surgery for the treatment of distal radial osteosarcoma. J Am Anim Hosp Assoc 2011; 47: 98-111.
- 19 Lascelles BD, Dernell WS, Correa MT. et al. Improved survival associated with postoperative wound infection in dogs treated with limb-salvage surgery for osteosarcoma. Ann Surg Oncol 2005; 12: 1073-1083.
- 20 Morello E, Vasconi E, Martano M. et al. Pasteurized tumoral autograft and adjuvant chemotherapy for the treatment of canine distal radial osteosarcoma: 13 cases. Vet Surg 2003; 32: 539-544.
- 21 Liptak JM, Dernell WS, Lascelles BD. et al. Intraoperative extracorporeal irradiation for limb sparing in 13 dogs. Vet Surg 2004; 33: 446-456.
- 22 LaRue SM, Withrow SJ, Powers BE. et al. Limb-sparing treatment for osteosarcoma in dogs. J Am Vet Med Assoc 1989; 195: 1734-1744.
- 23 Miclau III T, Bozic KJ, Tay B. et al. Bone Injury, Regeneration and Repair. In: Einhorn TA, O'Keefe RJ, Buckwalter JA. editors. Orthopaedic Basic Science, Foundations of clinical practice. Rosemont: American Academy of Orthopaedic Surgeons; 2007. p. 2007-331.
- 24 Lindsey RW, Gugala Z, Milne E. et al. The efficacy of cylindrical titanium mesh cage for the reconstruction of a critical-size canine segmental femoral diaphyseal defect. J Orthop Res 2006; 24: 1438-1453.
- 25 Field JR, McGee M, Wildenauer C. et al. The utilization of a synthetic bone void filler (JAX) in the repair of a femoral segmental defect. Vet Comp Orthop Traumatol 2009; 22: 87-95.
- 26 Kraus KH, Kirker-Head C. Mesenchymal stem cells and bone regeneration. Vet Surg 2006; 35: 232-242.
- 27 Faria MLE, Lu Y, Heaney K. et al. Recombinant human bone morphogenetic protein-2 in absorbable collagen sponge enhances bone healing of tibial osteotomies in dogs. Vet Surg 2007; 36: 122-131.
- 28 Teixeira CR, Rahal SC, Volpi RS. et al. Tibial segmental bone defect treated with bone plate and cage filled with either xenogeneic composite or autologous cortical bone graft. An experimental study in sheep. Vet Comp Orthop Traumatol 2007; 20: 269-276.
- 29 Kruth-Halling Veterinary Professional Corporation. TR Matrix Bioscaffold [product description on internet]. Kruth-Halling Veterinay PC. 2009 Available from: http://www.khvet.ca/Products.aspx?s=7&c=230
- 30 Schmokel HG, Weber FE, Seiler G. et al. Treatment of nonunions with nonglycosylated recombinant human bone morphogenetic protein-2 delivered from a fibrin matrix. Vet Surg, 2004; 33: 112-118.
- 31 Pink JJ, Gemmill TJ, Renwick AIC. et al. Pancarpal arthrodesis with combined medial and dorsal plates in 10 dogs. Proceedings of the 2009 BSAVA Congress. 2009. April 02-06 Birmingham, UK: p. 443.
- 32 Mauldin GN, Matus RE, Withrow SJ. et al. Canine osteosarcoma. Treatment by amputation versus amputation and adjuvant chemotherapy using doxorubicin and cisplatin. J Vet Intern Med 1988; 2: 177-180.
- 33 Spodnick GJ, Berg J, Rand WM. et al. Prognosis for dogs with appendicular osteosarcoma treated by amputation alone: 162 cases (1978-1988). J Am Vet Med Assoc 1992; 200: 995-999.
- 34 Shapiro W, Fossum TW, Kitchell BE. et al. Use of cisplatin for treatment of appendicular osteosarcoma in dogs. J Am Vet Med Assoc 1988; 192: 507-511.
- 35 Thompson JP, Fugent MJ. Evaluation of survival times after limb amputation, with and without subsequent administration of cisplatin, for treatment of appendicular osteosarcoma in dogs: 30 cases (1979-1990). J Am Vet Med Assoc 1992; 200: 531-533.