COMPARATIVE EVALUATION OF INTRAMEDULLARY PINNING AND MODIFIED INTRAMEDULLARY INTERLOCKING NAILING TECHNIQUES FOR THE REPAIR OF TIBIAL FRACTURES UNDER FENTANYL-KETAMINE INDUCTION AND ISOFLURANE MAINTENANCE IN DOGS
Loading...
Files
Date
2022
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
KARNATAKA VETERINARY, ANIMAL AND FISHERIES SCIENCES UNIVERSITY, BIDAR – 585 226
Abstract
The study was conducted on twelve clinical cases of dogs with tibial fractures,
randomly divided into two groups consisting of six dogs each. In group – I, the
fractures were repaired using intramedullary pinning under glycopyrrolate, fentanyl
citrate, triflupromazine hydrochloride and ketamine induction followed by
isoflurane maintenance. In group – II, the fractures were repaired using modified
intramedullary interlocking nailing under glycopyrrolate, fentanyl citrate,
midazolam and ketamine induction followed by isoflurane maintenance. In the
present study, both the anaesthetic protocols provided safe and satisfactory
anaesthesia in dogs. The incidence of tibial fractures in dogs, in and around Bidar
was recorded and of the total 158 fracture cases in dogs, 48 (30.38 %) had tibial
fractures. Following fracture repair, the dogs were evaluated for fracture healing on
the 15th, 30th and 60th day on the basis of a lameness grade and radiographic
evaluation. Progressive improvement in weight bearing was observed from the 0th
day to the 60th day. On radiographs, the bridging callus was evident in both groups
from the 30th to 60th post-operative day. The biochemical and physiological
parameters obtained on the 0th, 15th, 30th and 60th day showed a fluctuating trend
and were of very little help in evaluating fracture healing. In conclusion, both
techniques are suitable for repair of tibial fractures, however, in group – II, the
modified intramedullary interlocking nail was inserted with difficulty and can be
further modified to facilitate insertion. The anaesthetic protocol in group – II,
showed better results than group – I at the 15th minute after induction.