![]() ![]() Indirect bone healing occurs as a result. Pathologic fractures are more likely to be seen in the geriatric dog and cat and should be identified preoperatively to ensure proper client education and communicationīiological fracture management utilizes indirect fracture reduction to preserve the soft tissue envelope at the expense of anatomic reduction. A complete physical exam and appropriate diagnostic tests should be performed. It is always important to obtain an accurate history prior to stabilizing fractures. Preservation of soft tissue attachments to bone fragmentsĤ. Steps can be taken to tip the scale in the direction of early fracture healing. It is always a race between a fracture healing and an implant failing. Stabilization of fractures using the principles of biologic fracture management is performed with the same type of implant systems used with traditional fracture repair, including externally and internally applied devices.Ĭomminuted fractures of the extremities can be challenging. This type of bone healing is also referred to as secondary bone healing, spontaneous bone healing and callus healing. The technique can be used with all fracture types, but is particularly useful for stabilization of comminuted fractures. Biological factors important for fracture healing are preserved, enhancing the body’s ability for indirect bone healing. Minimally-invasive surgical approaches reduce pain and minimize trauma to the soft tissues. A variety of fracture repair techniques will be discussed including interlocking nails, plate-rod construct and linear external fixators. This lecture will focus on presentation of clinical cases involving complex fractures of the forelimb and hindlimb, with an emphasis on the decision-making process. Neurologic function should always be assessed because complex fractures are often associated with high-energy trauma that also can injure the brachial plexus or peripheral nerves of the forelimb. Often times, the answer lies in the neglect of the biological or postoperative compliance factors. Complex fractures that are treated with a mechanically sound repair often leave the surgeon pondering what could have possibly gone wrong when a “perfect” repair fails. Factors that should be considered include mechanical, biological and postoperative compliance. Careful consideration should be given to decision-making prior to onset of fracture repair. Books & VINcyclopedia of Diseases (Formerly Associate)Ĭomminuted fractures can be especially challenging due to the complexity of the fracture fragments and concomitant soft tissue injury.VINcyclopedia of Diseases (Formerly Associate).
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