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Transarticular application of external skeletal fixation
1Department of Veterinary Clinical Sciences, Purdue University School of Veterinary Medicine, West Lafayette, Indiana.
The Veterinary Clinics of North America. Small Animal Practice
|January 1, 1992
Summary
External skeletal fixators offer effective joint immobilization for small animals, especially with open wounds. Understanding different fixator types, like Kirschner-Ehmer splints and acrylic frames, ensures optimal patient outcomes.
Area of Science:
- Veterinary Orthopedics
- Biomechanical Engineering
Background:
- External skeletal fixators are an alternative to external coaptation for joint immobilization.
- They are particularly useful for orthopedic injuries with open wounds requiring daily treatment.
Purpose of the Study:
- To review the advantages and disadvantages of various external skeletal fixator techniques.
- To guide the selection of appropriate fixation methods for small animal patients.
Main Methods:
- Discussion of Kirschner-Ehmer (K-E) splints, Rudy external fixator boots, and acrylic frame fixators.
- Highlighting the use of contoured rods for transarticular fixation.
- Explaining techniques for extremely small patients not suited for standard Kirschner systems.
Main Results:
- K-E splints, Rudy boots, and acrylic frames are economical and effective for transarticular fixation in small animals.
- Contoured rods enhance K-E splint application.
- Acrylic frames and Rudy boots expand fixation options to very small patients.
Conclusions:
- Proper selection of external fixation techniques is critical for successful orthopedic treatment.
- Understanding principles of pin selection, insertion, and frame design is essential for effective execution.