Vet Comp Orthop Traumatol 2010; 23(02): 134-140
DOI: 10.3415/VCOT-09-04-0049
Case Report
Schattauer GmbH

Bone transport osteogenesis for treatment of canine osteomyelitis

A report of two cases
D. Ting
1   Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan, USA
,
S. W. Petersen
2   Wheat Ridge Veterinary Specialists, Wheat Ridge, Colorado, USA
,
L. M. Déjardin
1   Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan, USA
› Author Affiliations
Further Information

Publication History

Received: 15 April 2009

Accepted: 06 February 2009

Publication Date:
19 December 2017 (online)

Summary

Bone transport osteogenesis, as described by Ilizarov, has been used to resolve segmental bone defects in both human and veterinary patients. These defects are created when a large osseous tumour, sequestrum, or non-union fracture is resected. This report documents two cases in which the principle of bone transport osteogenesis was applied by utilising the Ilizarov technique to bridge large osseous defects resulting from debridement of an infected nonunion fracture (case 1) and debridement of a sequestrum (case 2). Defects were treated by transporting either a complete or a hemi-circumferential bone segment. Both cases had resolution of osteomyelitis, satisfactory fracture union, and functional usage of the limb 39 weeks and 15 weeks post-surgery, respectively. Although manageable complications were encountered during the treatment of these cases, the long-term clinical outcome was eventually favorable. The authors believe that bone transport osteogenesis offers a valid restorative option in the treatment of bone defects resulting from extensive debridement and sequestrectomy.

 
  • References

  • 1 Cattaneo R, Catagni M, Johnson EE.. The treatment of infected nonunions and segmental defects of the tibia by the methods of Ilizarov. Clin Orthop Relat Res 1992; 280: 143-152.
  • 2 Green SA.. Skeletal defects. A comparison of bone grafting and bone transport for segmental skeletal defects. Clin Orthop Relat Res 1994; 301: 111-117.
  • 3 DeCoster TA, Gehlert RJ, Mikola EA. et al. Management of posttraumatic segmental bone defects. J Am Acad Orthop Surg 2004; 12: 28-38.
  • 4 Piermattei DL, Flo GL.. Bone grafting. In Piermattei DL, Flo GL. editors Handbook of Small Animal Orthopedics and Fracture Repair. 3rd ed. Philadelphia: W.B. Saunders; 1997: 147-153.
  • 5 Lesser AS.. Segmental bone transport for the treatment of bone deficits. J Am Anim Hosp Assoc 1994; 30: 322-330.
  • 6 Franch J, Diaz-Bertrana C, Lafuente P. et al. Beta-tricalcium phosphate as a synthetic cancellous bone graft in veterinary orthopaedics: a retrospective study of 13 clinical cases. Vet Comp Orthop Traumatol 2006; 19: 196-204.
  • 7 Dorea HC, McLaughlin RM, Cantwell HD. et al. Evaluation of healing in feline femoral defects filled with cancellous autograft, cancellous allograft or Bioglass. Vet Comp Orthop Traumatol 2005; 18: 157-168.
  • 8 De Long Jr WG , Einhorn TA, Koval K. et al. Bone grafts and bone graft substitutes in orthopaedic trauma surgery. A critical analysis. J Bone Joint Surg Am 2007; 89: 649-658.
  • 9 Stallings FT, Lewis DD, Welch RD. et al. An introduction to distraction osteogenesis and the principles of the Ilizarov method. Vet Comp Orthop Traumatol 1998; 11: 59-67.
  • 10 Aronson J.. Limb-lengthening, skeletal reconstruction, and bone transport with the Ilizarov method. J Bone Joint Surg Am 1997; 79: 1243-1258.
  • 11 Degna MT, Ehrhart N, Feretti A. et al. Bone transport osteogenesis for limb salvage. Vet Comp Orthop Traumatol 2000; 13: 18-22.
  • 12 Rovesti GL, Bascucci M, Schmidt K. et al. Limb sparing using a double bone-transport technique for treatment of a distal tibial osteosarcoma in a dog. Vet Surg 2002; 31: 70-77.
  • 13 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.
  • 14 Owen MA.. Use of the Ilizarov method to manage a septic tibial fracture nonunion with a large cortical defect. J Small Anim Pract 2000; 41: 124-127.
  • 15 Schwartsman V, Choi SH, Schwartsman R.. Tibial nonunions. Treatment tactics with the Ilizarov method. Orthop Clin North Am 1990; 21: 639-653.
  • 16 Lammens J, Baudouin G, Driesen R. et al. Treatment of nonunion of the humerus using the Ilizarov external fixator. Clin Orthop Relat Res 1998; 353: 223-230.
  • 17 Rahal SC, Volpi RS, Vulcano LC. et al. Large segmental radius and ulna defect treated by bone transportation with the Ilizarov technique. Aust Vet J 2003; 81: 677-680.
  • 18 Esser RD.. Treatment of a bone defect of the forearm by bone transport. A case report. Clin Orthop Relat Res 1996; 326: 221-224.
  • 19 Cierny G, Zorn KE.. Segmental tibial defects. Comparing conventional and Ilizarov methodologies. Clin Orthop Relat Res 1994; 301: 118-123.
  • 20 Goodship AE, Kenwright J.. The influence of induced micromovement upon the healing of experimental tibial fractures. J Bone Joint Surg Br 1985; 67: 650-655.
  • 21 Piermattei DL, Johnson KA.. In: An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat (4th ed.). Philadelphia: W. B. Saunders Company 2004; 370-373.
  • 22 Lesser AS.. Ilizarov technique. In Bojrab MJ, Ellison GW, Slocum B. editors Current Techniques in Small Animal Surgery. 4th ed. Baltimore: Williams & Wilkins; 1997: 950-63.
  • 23 Aronson J.. The biology of distraction osteogenesis. In Bianchi-Maiocchi A, Aronson J. editors Operative Principles of Ilizarov. Milan, Italy: Medi Surgical Video; 1991: 42-52.
  • 24 Ilizarov GA.. The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft-tissue preservation. Clin Orthop Relat Res 1989; 238: 249-281.
  • 25 Catagni M, Villa A.. Nonunion of the leg (tibia). In Bianchi-Maiocchi A, Aronson J. editors Operative Principles of Ilizarov. Milan, Italy: Medi Surgical Video; 1991: 199-214.
  • 26 Dormans JP, Ofluoglu O, Erol B. et al. Case report: Reconstruction of an intercalary defect with bone transport after resection of Ewing's sarcoma. Clin Orthop Relat Res 2005; 434: 258-264.
  • 27 Aronson J.. Experimental and clinical experience with distraction osteogenesis. Cleft Palate Craniofac J 1994; 31: 473-481 discussion 81–82.