期刊论文详细信息
Irish Veterinary Journal
Omentalisation as adjunctive treatment of an infected femoral nonunion fracture: a case report
B Kirby1  H McAllister1  M Glyde1  A McAlinden1 
[1] Section of Veterinary Clinical Studies, University Veterinary Hospital, School of Agriculture, Food Science and Veterinary Medicine, University College Dublin, Belfield, Dublin 4
关键词: omentalisation;    nonunion;    infected;    fracture;    femur;    dog;   
Others  :  1149795
DOI  :  10.1186/2046-0481-62-10-663
PDF
【 摘 要 】

A three-year-old male working border collie with an infected femoral nonunion fracture was managed in a two-stage procedure involving debridement and omentalisation, followed by stabilisation with a bone plate and an autogenous cancellous bone graft. Osseous union was documented radiographically 16 weeks after surgery. Telephone follow-up one year later revealed the dog had returned to full working function without evidence of lameness. To the authors' knowledge, this is the first clinical case described in the veterinary literature using omentalisation as an adjunct to the management of an infected, biologically inactive nonunion fracture.

【 授权许可】

   

【 预 览 】
附件列表
Files Size Format View
20150405103516585.pdf 831KB PDF download
Figure 3. 111KB Image download
Figure 2. 274KB Image download
Figure 1. 60KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

【 参考文献 】
  • [1]Abbott WC, White H: The omentum in malignant diseases. Semin Surg Oncol 1985, 1:57-73.
  • [2]Alagumuthu M, Das Bhupati B, Pattanayak SP, et al.: The omentum: A unique organ of exceptional versatility. Indian J Surg 2006, 68(3):136-141.
  • [3]Alday ES, Goldsmith HS: Surgical technique for omental lengthening based on arterial anatomy. Surg Gynecol & Obstet 1972, 135:103-107.
  • [4]Aron DN, Toombs JP, Hollingsworth SC: Primary treatment of severe fractures by external skeletal fixation: Threaded pins compared with smooth pins. J Am Anim Hosp Assoc 1986, 22:659-670.
  • [5]Atilola MAO, Summer-Smith G: Nonunion fractures in dogs. J Vet Orthoped 1984, 3(2):21-244.
  • [6]Azuma H, Kondo T, Mikami M, et al.: Treatment of chronic osteomyelitis by transplantation of autogenous omentum with microvascular anastomosis. Acta Orthop Scand 1976, 47:271-275.
  • [7]Bartels KE: Nonunion. Vet Clin North Am Small Anim Pract 1987, 17(4):799-809.
  • [8]Blaeser LL, Gallagher JG, Boudrieau RJ: Treatment of biologically inactive nonunions by a limited en bloc ostectomy and compression plate fixation: A review of 17 cases. Vet Surg 2003, 32:91-100.
  • [9]Bright RM, Brichard SJ, Long GG: Repair of thoracic wall defects in the dog with an omental pedicle flap. J Am Anim Hosp Assoc 1982, 18:227-282.
  • [10]Brockman DJ, Pardo AD, Conzemius MG, et al.: Omentum enhanced reconstruction of chronic nonhealing wounds in cats: Techniques and clinical use. Vet Surg 1996, 25:99-104.
  • [11]Bubenik LJ, Smith MM: Orthopaedic infections. In Textbook of small animal surgery. 3rd edition. Edited by Slatter D. Philadelphia, Saunders; 2003.
  • [12]Caywood DD, Wallace LJ, Braden TD: Osteomyelitis in the dog: A review of 67 cases. J Am Vet Med Assoc 1978, 172:943-946.
  • [13]Chidgey L, Chakkalakal D, Blotcky A, et al.: Vascular reorganisation and return of rigidity in fracture healing. J Orthop Res 1986, 4:173-179.
  • [14]Das SK: The size of the human omentum and methods of lengthening it for transplantation. Br J Plast Surg 1976, 29:170-176.
  • [15]Dernell WS: Treatment of severe orthopaedic infections. Vet Clin North Am Small Anim Pract 1999, 21(4):1261-1274.
  • [16]Franczuski D, Chalman JA, Butler HC: Postoperative effects of experimental femoral shortening in the mature dog. J Am Anim Hosp Assoc 1987, 23:429.
  • [17]Glyde M, Fitzpatrick D, Fitzpatrick C: Use of finite element analysis for design of a 2.7 mm and 3.5 mm broad supracondylar femoral bone plate. In British Veterinary Orthopaedic Association Spring Meeting. April 6, 2005. Birmingham, UK; 2005:32-36.
  • [18]Hosgood G: The omentum - the forgotten organ: physiology and potential surgical applications in dogs and cats. Compend Contin Educ Prac Vet 1990, 12:45-50.
  • [19]Johnson AL, Smith CW, Schaeffer DJ: Fragment reconstruction and bone plate fixation versus bridging plate fixation for treating highly comminuted femoral fractures in dogs: 35 cases: (1987-1997). J Am Vet Med Assoc 1998, 213(8):1157-62.
  • [20]Johnson KA: Osteomyelitis. In Small animal orthopaedics. 1st edition. Edited by Olmstead ML. St. Louis, Mosby/Elsevier; 1995.
  • [21]PEER reviewed Lascelles BDX, Davison L, Dunning M, et al.: Use of omental pedicle grafts in the management of nonhealing axillary wounds in 10 cats. J Small Anim Pract 1998, 39:475-480.
  • [22]Marti JM, Miller A: Delineation of safe corridors for the insertion of external fixator pins in the dog 1: Hindlimb. J Small Anim Pract 1994, 35:16-23.
  • [23]Oloumi MM, Derakhshanfar A, Molaei MM, et al.: The angiogenic potential of autogenous free omental graft in experimental tibial defects in rabbit: Short-term preliminary histopathological study. J Exp Anim Sci 2006, 43(3):179-187.
  • [24]Piermattei DL, Flo GL, DeCamp CE: Fractures of the femur and the patella. In Brinker, Piermattei & Flo's handbook of small animal orthopaedics and fracture repair. 4th edition. Edited by Piermattei DL, Flo GL, DeCamp. Philidelphia, Saunders; 2006.
  • [25]Piermattei D, Johnson KA: The Hindlimb. In An atlas of surgical approaches to the bones and joints of the dog and cat. 4th edition. Edited by Piermattei DL, Johnson KA. Philadelphia, Saunders; 2004.
  • [26]Puma F, Fedeli C, Ottavi G, et al.: Laparoscopic omental flap for the treatment of major sternal wound infection after cardiac surgery. J Thorac Cardiovasc Surg 2003, 126:1998-2002.
  • [27]Roa DM, Bright RM, Daniel GB, et al.: Microvascular transplantation of a free omental graft to the distal extremity of dogs. Vet Surg 1999, 28:456-465.
  • [28]Ross WE, Pardo AD: Evaluation of an omental pedicle extension technique in the dog. Vet Surg 1993, 22:37-43.
  • [29]Samson R, Pasternak BM: Current status of surgery of the omentum. Surg Gynaecol obstetr 1979, 149:437-441.
  • [30]Sande R: Radiography of orthopaedic trauma and fracture repair. Vet Clin North Am Small Anim Pract 1999, 29(5):1247-60.
  • [31]Shilov BL, Milanov NO: Free transfer of the greater omentum. Ann Plast Surg 1993, 31:546-549.
  • [32]Smith CW, Schiller AG, Smith AR, et al.: Osteomyelitis in the dog: A retrospective study. J Am Anim Hosp Assoc 1978, 14:589-5928.
  • [33]Stead AC: Osteomyelitis in the dog and cat. J Small Anim Pract 1984, 25(11):1-13.
  • [34]Street J, et al.: Vascular endothelial growth factor stimulates bone repair by promoting angiogenesis and bone turnover. Proc Natl Acad Sci 2002, 99:9656-9661.
  • [35]Summer-Smith G: Delayed unions and nonunions: Diagnosis, pathophysiology and treatment. Vet Clin North Am 1991, 21:745-760.
  • [36]Toda R, et al.: Pedicle transposition of the greater omentum for sternal osteomyelitis and mediastinitis after cardiac operation. J Cardiovas Surg 1998, 39(3):359-360.
  • [37]Valat B, Moisonnier P: The omentum 'The surgeon's friend'. Prat Med Chir Anim Comp 2001, 36:91-103.
  • [38]Weitzel PP, Esterhai J: Delayed union, nonunion and synovial pseudoarthrosis. In Bone Formation and Repair. Edited by Brighton CT. Rosemont, AAOS; 1994.
  • [39]Woodard JC, Riser WH: Delayed unions and nonunions: Diagnosis, pathophysiology and treatment. Vet Clin North Am 1991, 21:813-844.
  • [40]Zhang QX, Macgovern J, Mack CA, et al.: Vascular endothelial growth factor is the major angiogenic factor in omentum: Mechanism of the omentum-mediated angiogensis. J Surg Res 1996, 67:147-154.
  文献评价指标  
  下载次数:56次 浏览次数:32次