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    Single-cut osteotomy for correction of a complex multiplanar deformity of the radius in a Shetland pony foal (2022)

    Art
    Zeitschriftenartikel / wissenschaftlicher Beitrag
    Autoren
    Schweinsberg, Lorenz P. (WE 17)
    Ehrle, Anna (WE 17)
    Schweinsberg, Uwe
    Meehan, Lucy
    Noguera Cender, Andrea (WE 17)
    Lischer, Christoph J. (WE 17)
    Quelle
    Veterinary surgery : the official journal of the American College of Veterinary Surgeons and the European College of Veterinary Surgeon
    Bandzählung: 51
    Heftzählung: 1
    Seiten: 148 – 156
    ISSN: 1532-950x
    Sprache
    Englisch
    Verweise
    URL (Volltext): https://onlinelibrary.wiley.com/doi/10.1111/vsu.13725
    DOI: 10.1111/vsu.13725
    Pubmed: 34651322
    Kontakt
    Pferdeklinik

    Oertzenweg 19 b
    14163 Berlin
    +49 30 838 62299 / 62300
    pferdeklinik@vetmed.fu-berlin.de

    Abstract / Zusammenfassung

    Objective:
    To describe the surgical correction of a multiplanar deformity of the radius in a pony using a single-cut osteotomy.

    Study design:
    Case report.

    Animals:
    A 9-week-old male Shetland pony foal with a bodyweight of 47 kg.

    Methods:
    The foal presented with a complex multiplanar deformity of the right radius. A 3-dimensional model of the bone was created based on computed tomography (CT) imaging. To correct the deformity, the cutting plane for a single-cut osteotomy was calculated following the mathematical approach described by Sangeorzan et al. After osteotomy, the bone was realigned and stabilized with two 4.5 locking compression plates (LCPs).

    Results:
    Recovery from surgery was uneventful, and the foal remained comfortable. A CT exam 15 weeks after surgery revealed that diaphyseal deformities improved substantially in procurvatum (from 8° to 1°), varus (from 27° to 0°), and rotation (30° to 5°). The operated radius was 2.1 cm shorter than the left. Eighteen-month follow up confirmed a functionally and cosmetically acceptable outcome.

    Conclusion:
    The single-cut osteotomy resulted in the successful correction of a multiplanar equine long-bone deformity with a favorable outcome in a Shetland pony.

    Clinical significance:
    Single-cut osteotomy is an alternative surgical technique for the correction of complex diaphyseal long-bone equine deformities. Computed tomography data and the possibility of printing 3D models provides a significant advantage for rehearsing the procedure and for evaluating the correction that was achieved.