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    Modified toggle pin technique combined with prosthetic capsular reconstruction for surgical stabilization of coxofemoral luxation in a Shetland pony (2023)

    Art
    Zeitschriftenartikel / wissenschaftlicher Beitrag
    Autoren
    Müller, Eva M. T. (WE 17)
    Ehrle, Anna (WE 17)
    Pozzi, Antonio
    Lasarzik de Ascurra, Juliane (WE 17)
    Lischer, Christoph J. (WE 17)
    Kümmerle, Jan M.
    Quelle
    Veterinary surgery : the official journal of the American College of Veterinary Surgeons and the European College of Veterinary Surgeon
    Bandzählung: 52
    Heftzählung: 2
    Seiten: 221 – 228
    ISSN: 1532-950x
    Sprache
    Englisch
    Verweise
    URL (Volltext): https://onlinelibrary.wiley.com/doi/10.1111/vsu.13915
    DOI: 10.1111/vsu.13915
    Pubmed: 36408865
    Kontakt
    Pferdeklinik

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

    Abstract / Zusammenfassung

    Objective:
    To describe open reduction and surgical stabilization of a coxofemoralluxation in a pony using a modified toggle pin technique and prosthetic jointcapsule reconstruction without osteotomy of the greater trochanter.

    Animal:
    A 2-year-old Shetland pony with a bodyweight of 167 kg.

    Study design:
    Case report.

    Methods:
    Radiographic examination confirmed craniodorsal luxation of theleft coxofemoral joint. An open reduction with the aid of a pulley system wasperformed. A toggle pin was inserted through a bone tunnel extending fromthe level of the femoral shaft through the femoral head and the center of theacetabulum for the pin to be positioned on the medial wall of the acetabu-lum. FiberWire was subsequently passed through the cranial and caudalaspects of the acetabulum as well as a transverse tunnel in the femoral neckin a figure of 8 to facilitate capsular reconstruction. The pony was placed in asling for 8 weeks and gradually returned to normal activity over 2 months.

    Results:
    Postoperative radiographic examination confirmed the position of thefemoral head in the acetabulum with the implants in place. On 2-year follow-upthe pony was sound at walk and trot.

    Conclusion:
    A combined intra- and extra-articular stabilization technique forcoxofemoral luxation in a pony resulted in successful long-term reduction andexcellent outcome.