Outcomes and Complications Associated with Acute Gunshot Fractures in Cats and Dogs

2021 ◽  
Author(s):  
Kelly Schrock ◽  
Sharon C. Kerwin ◽  
Nick Jeffery
Keyword(s):  
Soft Tissue ◽  
Postoperative Complications ◽  
Postoperative Complication ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Long Bone ◽  
Soft Tissue Trauma ◽  
Poor Outcome ◽  
Fracture Management ◽  
Tissue Trauma

Abstract Objective The aim of this study was to summarize outcomes and complications of gunshot fracture management in small animals. Study Design Review of cats and dogs with radiographically confirmed acute gunshot fractures, presenting data on signalment, fracture location, fracture management (surgical vs. non-surgical, type of surgical repair), fracture comminution, extent of soft tissue trauma, postoperative complication and overall outcome. A poor outcome was defined as patient death, major postoperative complication or limb amputation (both as primary treatment or secondary to postoperative complications). Results Ninety-seven animals with 137 acute gunshot-induced fractures were identified. There were 21 (15.3%) maxillofacial, 16 (11.7%) vertebral column, 8 (5.8%) rib, 56 (40.9%) distal long bone (below stifle/cubital joint) and 36 (26.3%) proximal long bone (at or above stifle/cubital joint) fractures. Overall, 20/37 cases with sufficient follow-up details incurred a poor fracture outcome. Extensive soft tissue trauma at the fracture site was associated with an increased likelihood of poor outcome. The most common poor outcomes were primary limb amputations (7 cases) and postoperative complications (3 osteomyelitis/surgical site infections, 4 delayed/non-unions). Conclusions Gunshot fractures overall have high likelihood of poor outcome. Severe soft tissue injury is associated with complications. Mitigating poor outcome likely requires early aggressive wound management.

scholarly journals Checkrein Deformity of the Hallux and Second Toe after Soft-Tissue Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
J. R. Rodriguez-Collell ◽  
D. Mifsut-Miedes
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Plantar Flexion ◽  
Soft Tissue Injury ◽  
Rehabilitation Program ◽  
Flexor Hallucis Longus ◽  
Bone Injury ◽  
Mri Study ◽  
Tissue Trauma ◽  
Second Toe

We report the case of a patient who developed a checkrein deformity of the hallux and of the second toe following a direct soft tissue trauma to his right leg, with no associated fracture. This dynamic deformity caused the patient significant trouble walking and prevented him from playing any sport as in the stance phase of gait the toes were forced into maximum plantar flexion and ended up trapped under the foot. An MRI study did not show any bone injury or tendinous tethering. So the cause could be a subclinical compartment syndrome. Treatment consisted of a z-plasty and application of a pulvertaft suture to the flexor hallucis longus. Following a short rehabilitation program (2 weeks), the patient made a full recovery.

scholarly journals A Prospective Comparative Study of serratiopeptidase and aceclofenac in Upper and Lower Limb Soft Tissue Trauma Cases

2017 ◽  
pp. 11-16
Author(s):  
Richa Garg
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Analgesic Effect ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Common Adverse Effect ◽  
Discontinuation Of Treatment ◽  
Prospective Comparative Study ◽  
Tissue Trauma ◽  
To Receive

The aim of this study was to evaluate and compare the efficacy and safety of serratiopeptidase and aceclofenac in reducing swelling and pain following soft tissue injury. This study included 100 patients with soft tissue injury to upper limb, lower limb or both. They were randomly divided into two groups of 50 each to receive serratiopeptidase and aceclofenac. Evaluation of efficacy was made using tape measurement (for swelling), and visual analogue scale (for pain) on day 0, week 1and week 2. Serratiopeptidase showed significant anti-inflammatory effect and mild analgesic effect. None of the patient was required to be put on another analgesic or any alteration in treatment. Aceclofenac showed superior analgesic effect as compared to serratiopeptidase. Mild to moderate adverse effects were reported. The most common adverse effect reported was dyspepsia. All were mild and did not require any alteration or discontinuation of treatment.

Osteotomies—When, Why, and How?

2020 ◽  
Vol 36 (01) ◽  
pp. 057-065
Author(s):  
Garrett D. Locketz ◽  
Kirkland N. Lozada ◽  
Daniel G. Becker
Keyword(s):  
Soft Tissue ◽  
Postoperative Complications ◽  
Functional Results ◽  
Soft Tissue Trauma ◽  
Crooked Nose ◽  
Tissue Trauma ◽  
Hump Reduction ◽  
Technical Considerations ◽  
Selection Of

AbstractAn ideal nasal osteotomy should deliver precise, predictable, and reproducible cosmetic and functional results while minimizing soft-tissue trauma and postoperative complications. In addition to closing an open roof deformity after hump reduction, other common indications for osteotomies include the crooked nose and a wide bony vault. The literature has reported numerous and diverse osteotomy techniques as well as differences in timing of osteotomies. Each has its own merits and indications, and its proponents. In this article, we review the anatomy and nomenclature relating to osteotomies. We review the locations and paths of the osteotomies—lateral, intermediate, medial, and superior/transverse. We consider the percutaneous and endonasal approaches, as well as timing of osteotomies and other considerations. We also discuss technical considerations in the selection of instrumentation for osteotomies.

A Cheap, Disposable External Fixator for Comminuted Phalangeal Fractures

1998 ◽  
Vol 23 (1) ◽  
pp. 84-85 ◽  
Author(s):  
Y. GODWIN ◽  
P. M. ARNSTEIN
Keyword(s):  
Soft Tissue ◽  
External Fixator ◽  
Early Mobilization ◽  
Long Bone ◽  
Soft Tissue Trauma ◽  
Comminuted Fracture ◽  
K Wires ◽  
Tissue Trauma ◽  
Phalangeal Fractures

Reduction of a severely comminuted fracture of a long bone in the hand can be difficult to hold. An external fixator can be the best method of maintaining satisfactory reduction in such fractures. A small, disposable external fixator is described, made from a syringe barrel and K-wires. It allows accurate reduction with minimal soft tissue trauma and is easy to construct and apply. It allows early mobilization of the digit and is inexpensive.

Vascular decompression. The critical element in forefoot crush injury

1994 ◽  
Vol 84 (6) ◽  
pp. 289-296 ◽  
Author(s):  
SV Corey ◽  
LD Cicchinelli ◽  
TE Pitts
Keyword(s):  
Soft Tissue ◽  
Compartment Syndrome ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Crush Injury ◽  
Critical Element ◽  
Fracture Management ◽  
Vascular Compromise ◽  
Post Traumatic ◽  
Vascular Decompression

The authors present an overview of post-traumatic foot compartment syndrome with an emphasis on the importance of relieving vascular compromise immediately. The incisional approach selected should not only effectively decompress the foot, but also allow for repair of concomitant osseous and soft tissue injury as well. Vascular considerations may dictate the course of simultaneous fracture management.

Principles for Surgical Treatment of Long Bones Fractures Complicated by Purulent Infection

2011 ◽  
Vol 18 (4) ◽  
pp. 53-59
Author(s):  
Yusif Abul'fatovich Amiraslanov ◽  
A O Zhukov ◽  
I V Borisov ◽  
A P Ivanov ◽  
Yu A Amiraslanov ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bone Fractures ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Long Bone ◽  
Modern Concept ◽  
Long Bones ◽  
Bone Fragments ◽  
Radical Debridement

Modern concept for the treatment of long bones fractures complicated by purulent infection is presented. The main principles of this concept are the determination of volume and pattern of bone and soft tissue injury, radical debridement, stable bone fragments' fixation, use of primary and early reconstructive-restorative operations for substitution of bone and soft tissue defects. Treatment results for 268 patients (289 extremity segments) have been analyzed. Applied method of grouping patients with complicated long bone fractures by the pattern and volume of injury enables to determine the volume of debridement, terms and steps of osteosynthesis and reconstructive-plastic operations. Good and satisfactory results have been achieved in 88% of cases.

Use of the AO Wire Passer to Aid Placement of Obstetrical Saw Wire for Osteotomy

1994 ◽  
Vol 07 (04) ◽  
pp. 180-182
Author(s):  
N. Gofton ◽  
Joanne Cockshutt
Keyword(s):  
Soft Tissue ◽  
Close Contact ◽  
Soft Tissue Trauma ◽  
Wire Saw ◽  
Tissue Dissection ◽  
The Wire ◽  
Tissue Trauma

The AO wire passer can be used as an effective guide for passage of obstetrical saw wire for osteotomy. Use of the wire saw and passer reduces soft tissue trauma by minimizing tissue dissection, and promoting positioning of the saw in close contact with the bone.

Auto seat restraint soft-tissue injury

1987 ◽  
Vol 148 (2) ◽  
pp. 458-458 ◽  
Author(s):  
DR Pennes ◽  
WA Phillips
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury
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