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Subject: Veterinary Surgery and Radiology × Author: BAPAT, CHANDRASHEKHAR GIRISH × End date: 2018 × Start date: 2016 × Thesis Type: M.V.Sc. ×
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    ThesisItemOpen Access
    COMPARATIVE STUDY BETWEEN INTERLOCKING NAILING (ILN) AND INTRAMEDULLARY PINNING FOR THE TREATMENT OF FRACTURE OF FEMUR IN CANINE
    (Assam Agricultural University, Khanapara, Guwahati, 2016-07) BAPAT, CHANDRASHEKHAR GIRISH; Sarma, K. K.
    The present study was undertaken to compare the use of Interlocking nailing (ILN) and Intramedullary Pinning for the treatment of canine femur fracture cases. A total of 773 cases were presented in the Teaching Veterinary Clinical Complex (Surgery Unit) and Department of Veterinary Surgery and Radiology, College of Veterinary Science, A.A.U., Khanapara during the period of 1st April, 2015 to 31st March, 2016. Out of 265 orthopedic cases 197 (74.34%) were found in canine. According to the distribution of the canine cases with signs of lameness, it was found that fracture incidences were the highest (65.48%) followed by dislocations (18.27%) and neurological disorders (16.24%). Further, fracture distribution in bones was recorded and highest was in femur (44.19%) followed by tibia/fibula (13.18%) and radius/ulna (10.85%). Ten clinical cases of canine diphyseal fracture of femur irrespective of age and sex were randomly divided into two groups. In Group A and Group B, correction of fracture was done by using intramedullary pinning and interlocking nailing respectively. Hematological and biochemical analysis were done on 0 day, 5th, 10th and 20th days post-operatively while radiographic evaluation and weight bearing test were done on 0 day, 10th, 20th, 30th and 60th days post-operatively. The cost of surgery and time taken for surgery were compared. Hematological estimation of Hb, TEC, TLC, ESR and PCV were done. Biochemical estimation of Alkaline phosphatase, Creatine kinase, Serum Calcium, Serum Phosphorous and total protein were done. Haematological parameters and Biochemical parameters showed non-significant alterations for both the groups except ALP levels showed significant difference within normal limits. Radiographic evaluation revealed secondary healing with hard callus formation in group A and primary healing with negligible callus formation in group B. Weight Bearing Test revealed 100% recovery in 2 out of 5 cases (40%) and 4 out of 5 cases (80%) in group A and group B respectively. Cost of implants was lesser in group A (Rs. 276/-) than group B (Rs. 1440/-). Time required for surgery was longer in group B (101 minutes) than group A (42 minutes). Based on the present findings, interlocking nailing was considered better than intramedullary pinning.