Início
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v. 2 n. 3 (2021)
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I Congresso On-line Nacional de Clínica Veterinária de Pequenos Animais
OSTEOSSÍNTESE DE FRATURA METAFISÁRIA PROXIMAL DA TÍBIA EM CÃO IMATURO
Autores
Juliana Rodrigues Leitão
Bruno Watanabe Minto
Eloy Curuci
Luis Gustavo Gosuen Gonçalves Dias
Palavras-chave:
ORTOPEDIA, TÍBIA, METÁFISE
Resumo
Introdução: A fratura metafisária proximal da tíbia é incomum, causado por lesão de baixo impacto, e tende a afetar filhotes, exigindo redução anatômica precoce para preservar o crescimento e prevenir danos secundários a função do joelho. Objetivos: Objetivou-se relatar um caso de fratura metafisária proximal da tíbia em cão filhote e descrever a técnica cirúrgica utilizada com sucesso. Materiais e métodos: Um canino, fêmea, com 5 meses de idade, chihuahua, 1 kg, foi atendido com histórico de trauma decorrente de queda. Apresentou sinais de dor e impotência funcional do membro pélvico direito com 2 dias de evolução. Ao exame ortopédico, evidenciou-se dor, crepitação e instabilidade da região proximal da tíbia direita. A radiografia evidenciou uma fratura no aspecto distal em relação a tuberosidade tibial, perfil curvo, sendo o segmento proximal côncavo e o segmento distal convexo, e optou-se pela estabilização com tala. Após 7 dias, observou-se apoio do membro, porém sem sua utilização ao caminhar. O acompanhamento radiográfico evidenciou início da formação de ponte óssea entre os fragmentos proximais e distais e o procurvatum do fragmento proximal da tíbia. Desta forma, optou-se pela redução aberta com com placa óssea bloqueada Fixin® 1,5 mm em forma de “T”, fixada a parafusos bloqueados de 1,5 mm. Resultados: No pós-operatório imediato, a avaliação radiográfica evidenciou alinhamento e aposição dos fragmentos ósseos, porém o parafuso cranial do fragmento proximal transpassou de maneira obliqua a linha de crescimento proximal. Após 30 dias, o exame radiográfico evidenciou ausência de linha de fratura e o fechamento precoce da epífise proximal lateral. Após 60 dias, o exame radiográfico mostrou um desvio angular valgo da tíbia proximal. Clinicamente, observou-se ausência de claudicação, com apoio completo do membro em estação e durante atividade física. No exame ortopédico, apresentava ausência de crepitação, dor e instabilidade e amplitude de movimento articular normal, recebendo alta clínica. Os implantes aplicados na placa de crescimento predispõe o fechamento precoce, sendo a principal consequência as deformidades de crescimento. Conclusão: Conclui-se que a estabilização com placa óssea proporcionou resultado clínico favorável, porém o acompanhamento clínico é importante para prevenção de processo degenerativos a longo prazo.
Como Citar
Leitão, J. R. ., Minto, B. W., Curuci, E., & Dias, L. G. G. G. (2021). OSTEOSSÍNTESE DE FRATURA METAFISÁRIA PROXIMAL DA TÍBIA EM CÃO IMATURO. Revista Multidisciplinar Em Saúde , 2 (3), 12. https://doi.org/10.51161/rems/1824
Seção
I Congresso On-line Nacional de Clínica Veterinária de Pequenos Animais
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