Skip to main content
Download PDF
  • Published:

The Use of Biodegradable Implants in the Fixation of Small Animal Cancellous Bone Fractures

Fixering av spongiösa benfrakturer hos hund och katt med hjälp av resorberbara implantater

Acta Veterinaria Scandinavica volume 29, pages 469–476 (1988)Cite this article

Abstract

In this study the cancellous bone fractures of 10 dogs and 2 cats were surgically treated with biodegradable implants to fixate the fractures. The implants were made of selfreinforced PGA homopolymers. The patients were allowed to walk on their operated limbs immediately after the fixation and they started to use them within one week. All patients except one used their operated limbs without lameness in 6 weeks and the twelfth case in 8 weeks, due to a postoperative periosteal infection. Radiographically, the fractures of 10 patients healed in 6 weeks and in 12 weeks in 2 cases. No other pathological reactions in the bone could be seen in the radiographs than the periosteal infection. Because the implants resolved spontaneously there was no need for a second operation to remove them.

Sammanfattning

I dette kliniska arbete fixerades spongiösa benfrakturer med resorberbara implantater gjorda av polyglykolsyra hos 10 hundar och 2 katter. Patienterna fick omedelbart gå fritt på det opererade benet efter operationen. Alla patienter stödde på det opererade benet inom 1 vecka after operationen. Elva av de 12 patienterna var ohalta inom 6 veckor och den tolfte, som fått en sekundär periostal infektion under operationen var ohalt efter 8 veckor. Radiologiskt läkte frakturerna hos 10 patienter inpm 6 veckor och hos 2 patienter inom 12 veckor. Radiologiskt kunde inga patiologiska benreaktioner påvisas runt implantaten. Denna nye fixeringsmetod med resorberbara implantat visade sig vara användbar for behandling av spongiösa frakturer hos unge hundar och katter.

References

  • Axelson Ρ, Räihä J, Mero M, Vainionpää S, Törmälä S, Rokkanen P: The use of biodegradable implant in fracture fixation. A literature review and a report of two clinical cases. J. Small Anim. Pract. 1988, 29, 249–255.

    Article  Google Scholar 

  • Bojrab MJ: (ed.): Current techniques in small animal surgery 2nd ed. Lea & Febiger, Philadelphia 1983.

  • Brinker WO: Small Animal Fractures. Dept. of Continuing Education Services, Michigan State University, East Lansing, Mich. 1978.

  • Brinker WO, Hohn RB, Prieur WD: Manual of Internal Fixation in Small Animals. Springer–Verlag, Berlin, Heidelberg, New York, Tokyo 1984.

    Google Scholar 

  • Brinker WO, Piermattei DL, Flo GL: Handbook of Small Animal Orthopedics and Fracture Treatment. W. B. Saunders Co., Philadelphia 1983.

  • Brown SG: Secondary Bone Union. In: Bojrab MJ (ed.) Pathophysiology in Small Animal Surgery. Lea & Febiger, Philadelphia 1981, 528–533.

  • Böstman O, Vainionpää S, Hirvensalo E, Mäkelä A, Vihtonen K, Tormälä P, Rokkanen P: Biodegradable internal fixation for malleolar fractures. J. Bone J. Surg. 1987, 69-B, No. 4, 615.

    Article  Google Scholar 

  • Cochran GVB: Effects of internal fixation plates on mechanical deformation of bone. Surg. Forum 1969, 20, 469–471.

    CAS  PubMed  Google Scholar 

  • Hoefle WD: Delayed Union and Nonunion of Fractures. In: Bojrab, M. J. (ed.) Pathophysiology in Small Animal Surgery. Lea & Febiger, Philadelphia 1981, 542–544.

  • Paavolainen P, Karaharju E, Slätis P, Ahonen J, Holmström T: Effect of rigid plate fixation on structure and mineral content of cortical bone. Clin. Orthop. 1978, 136, 287–293.

    CAS  Google Scholar 

  • Rokkanen Ρ, Böstman Ο, Vainionpää S, Vihtonen K, Törmälä P, Laiho J, Kilpikari J, Tam–minmäki M: Biodegradable implants in fracture fixation: early results of treatment of fractures of the ankle. Lancet 1985, 1422–1424.

    Google Scholar 

  • Slätis P, Karahurju E, Holmström, T, Ahonen J, Paavolainen P: Structural changes in intact bone after application of rigid plates with and without compression. J. Bone Jt. Surg. 1987, 60-A, 516–522.

    Article  Google Scholar 

  • Tonino AJ, Davidson DL, Klopper PJ, Linclau L–A: Protection from stress in bone and its effects. J. Bone Jt. Surg. 1976, 58–B, 107–113.

    Article  Google Scholar 

  • Törmälä P, Rokkanen P, Kilpikari J, Pätiälä H, Vainionpää S, Vihtonen K, Mero M: Apparails chirurgicaux. Belgian Patent, 900 513, 1984.

    Google Scholar 

  • Törmälä P, Vainionpää S, Kilpikari J, Rokkanen P: The effects of fibre reinforcement and gold plating on the flexural and tensile strength of PGA/PLA copolymer materials in vitro. Biomaterials 1987, 8, 42.

    Article  Google Scholar 

  • Uthof HK, Dubuc EL: Bone structure changes in the dog under rigid internal fixation. Clin. Orthop. 1971, 81, 167–170.

    Google Scholar 

  • Vainionpää S: Biodegradation of Polyglycolic Acid in Bone Tissue: An Experimental Study on Rabbits. Arch. Orthop. Trauma Surg. 1986, 104, 333–338.

    Article  Google Scholar 

  • Vainionpää S, Vihtonen K, Mero M, Pätiälä H, Rokkanen P, Kilpikari J, Törmälä P: Fixation of Experimental Osteotomies of the Distal Femur of Rabbits with Biodegradable Material. Arch. Orthop. Trauma Surg. 1986, 106, 1–4.

    Article  Google Scholar 

  • Åkeson WH, Woo SL-Y, Rutherford L, Coutts RD, Consalves M, Amiel D: The effects of rigidity of internal fixation plates on long bone remodelling. Acta Orthop. Scand. 1976, 47, 241–249.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, College of Veterinary Medicine and Small Animal Clinic MEVET, Helsinki, Finland

    P. Axelson, J. Räihä, K. Sittnikow, K. Skutnabb, M. Mero, S. Vainionpää, P. Törmälä & P. Rokkanen

  2. Small Animal Clinic MEVET, Ulfsbyvagen 25, SF-00350, Helsingfors, Finland

    P. Axelson

Authors
  1. P. Axelson
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Räihä
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. K. Sittnikow
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K. Skutnabb
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. Mero
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. S. Vainionpää
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. P. Törmälä
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. P. Rokkanen
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Axelson, P., Räihä, J., Sittnikow, K. et al. The Use of Biodegradable Implants in the Fixation of Small Animal Cancellous Bone Fractures. Acta Vet Scand 29, 469–476 (1988). https://doi.org/10.1186/BF03548644

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1186/BF03548644

Keywords

Acta Veterinaria Scandinavica

ISSN: 1751-0147