Stabilization and Long-Term Outcome of a Tibiotarsal Fracture in a Turkey Vulture (Cathartes aura) Using a Supracutaneous Plating Technique

VCOT Open Pub Date : 2022-07-01 DOI:10.1055/s-0042-1757349
Marina Liles, Anthony R Barillo, D. Dugat, N. Di Girolamo, J. Brandão, Rodrigo Y Roca
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Abstract

The aim of this study was to report the successful outcome of a tibiotarsal fracture in a turkey vulture managed with a supracutaneous plating technique. This is a case report study design. A juvenile male turkey vulture (Cathartes aura) was presented unable to walk. Physical exam revealed instability in the left tibiotarsus. Radiographs confirmed a comminuted mid-diaphyseal fracture of the left tibiotarsus. The turkey vulture underwent fracture stabilization using fluoroscopic guidance with a 12-hole 2.4-mm locking compression plate (LCP) placed in a supracutaneous fashion with locking screws proximally and distally. The turkey vulture was ambulatory immediately following surgery, and lameness had resolved by day three. Four weeks postoperatively, radiographs demonstrated loss of cortical bone density, and the construct was dynamized. At 6 weeks postoperatively, radiographs revealed a bridging callus, and all implants were removed. Following an additional 2 weeks of cage rest, recheck radiographs confirmed continued fracture healing and increased cortical density. At week nine, the turkey vulture was transitioned to a pre-release flight cage where the vulture was noted to set flight, land, grasp, walk, and perch normally. The turkey vulture was released 12 weeks postoperatively. This case report documents the successful functional outcome of a closed, comminuted mid-diaphyseal fracture of the tibiotarsus in a minimally invasive manner utilizing a supracutaneous plating technique. Based on a literature search, this is the first report utilizing supracutaneous plating for a tibiotarsal fracture in a turkey vulture.
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使用皮上镀技术稳定土耳其秃鹫(Cathartes aura)胫跗骨骨折的长期疗效
本研究的目的是报道用皮上镀技术成功治疗一只秃鹫胫跗骨骨折的结果。这是一个案例报告研究设计。一只幼年雄性火鸡秃鹫(Cathartes aura)无法行走。体格检查显示左侧胫跗骨不稳定。x线片证实左侧胫跗骨中骨干粉碎性骨折。在透视引导下,将12孔2.4 mm锁定加压板(LCP)置于皮上,并在近端和远端使用锁定螺钉进行骨折稳定。手术后,这只火鸡秃鹫立刻就能走动了,到第三天跛行就消失了。术后4周,x线片显示皮质骨密度下降,结构被激活。术后6周,x线片显示桥接骨痂,所有植入物均被移除。再进行2周笼内休息后,复查x线片证实骨折持续愈合,皮质密度增加。在第九周,火鸡秃鹫被转移到一个预释放的飞行笼,在那里秃鹫被注意到飞行,着陆,抓握,行走和栖息正常。火鸡秃鹫术后12周被放生。本病例报告采用皮上镀技术,以微创方式成功治疗胫跗骨中骨干粉碎性闭合性骨折。在文献检索的基础上,这是第一个使用皮上钢板治疗火鸡跖骨骨折的报道。
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