Objective: To describe the normal anatomic axis of the canine radius in 2 planes (frontal, sagittal), and report the use and efficacy of dome osteotomies for acute correction of canine antebrachial deformities.
Study Design: Retrospective study.
Sample Population: Normal antebrachii (n = 20) radiographs were used as a reference, and 7 dogs with 9 radial angular limb deformities that were corrected by use of dome osteotomies.
Methods: Orthogonal radiographs of 20 normal antebrachii were used to determine normal ranges of frontal (FPA) and sagittal plane anatomic axes (SPA). Pre and postoperative radiographs of 7 dogs (9 radii) that had surgical correction of radial angular limb deformities by dome osteotomies were reviewed. Success at deformity correction into established normal ranges and to the normal contralateral side, if present, was determined.
Results: Normal ranges were FPA, 0-8 degrees and SPA, 8-35 degrees . There were 4 biapical and 5 uniapical deformities. FPA and SPA were corrected into normal range in 66% and 78% of affected limbs, respectively; however, only 44% of radii were corrected into normal ranges in both planes.
Conclusions: Ranges for normal canine radial axes can be used as goals for angular limb correction when there is bilateral angular deformity. The dome osteotomy technique is advantageous in certain conditions for biplanar deformity correction.
Clinical Relevance: Dome osteotomies can be used to correct radial deformities in the frontal and sagittal planes, with certain advantages, but are heavily reliant on appropriate preoperative planning.
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http://dx.doi.org/10.1111/j.1532-950X.2005.00114.x | DOI Listing |
Arthrosc Tech
November 2024
Orthopaedic Department, Faculty of Medicine in Assiut, Al-Azhar University, Cairo, Egypt.
Osteochondral lesions of the talus are chondral lesions affecting the subchondral bone mostly due to acute ankle trauma, including either sprains or fractures. After failure of conservative treatment, operative treatment is necessary, with different surgical techniques described in the literature. We describe a single-step osteochondral autograft transfer to access the medial talar dome lesion that avoids the need for a medial malleolar osteotomy and therefore eliminates morbidity while reducing operative time.
View Article and Find Full Text PDFJ Hand Surg Eur Vol
December 2024
Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd, Beitou District, Taipei City 11217.
Neglected distal radial epiphyseal injuries can result in radial deformity and positive ulnar variance. We describe an inverted-dome radial osteotomy and ulnar shortening osteotomy to treat a paediatric distal radial malunion with ulnar impaction syndrome. V.
View Article and Find Full Text PDFJBJS Essent Surg Tech
October 2024
Department of Orthopaedic Surgery, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India.
Background: Severe elbow deformities are common in developing countries because of neglect or as a result of prior treatment that achieved poor reduction. Various osteotomy techniques have been defined for the surgical correction of elbow deformities. However, severe elbow deformities (>30°) pose a substantial challenge for surgeons because limited surgical options with high complication rates have been described in the literature.
View Article and Find Full Text PDFTrauma Case Rep
December 2024
Yale University School of Medicine Department of Orthopaedics and Rehabilitation, New Haven, CT, United States of America.
JBJS Essent Surg Tech
September 2024
Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland.
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