Wehrenpfennig Paul, Schmierer Philipp
Veterinarian Clinic Posthausen, Posthausen, 28870 Ottersberg, Germany.
DECVS, Veterinarian Clinic Posthausen, Posthausen, 28870 Ottersberg, Germany.
Animals (Basel). 2024 May 31;14(11):1647. doi: 10.3390/ani14111647.
To describe a rare congenital deformity of the phalanges and the surgical details and outcome in a dog with ectrodactyly combined with polydactyly.
Single case report.
A 3.5-month-old male intact mixed breed dog with forelimb lameness and paw malformations.
Surgery was performed on a dog with a congenital limb deformity consisting of resection of the extra bone and soft tissue structure to prevent further subluxation of the remaining metacarpals. Stabilisation consisted of a cortical screw in compression and a K wire across the proximal metacarpals.
Postoperative radiographs showed adequate implant positioning and good reduction of the proximal metacarpal row. At six weeks, the dog showed improvement in limb function and weight bearing. Major complications occurred at twelve weeks, and revision surgery with implant removal was required. At six months, the dog showed near normal range of motion and no lameness.
The decision to perform surgery on a dog with limb deformity resulted in an almost physiological gait, and the dog showed no abnormalities in daily life. This report adds to the literature on congenital limb deformities by describing the combination of ectrodactyly and polydactylism in a canine species, including the surgical approach and outcome. However, the optimal management of this heterogeneous condition is currently unclear.
描述一只患有缺指并多指畸形的犬的罕见指骨先天性畸形、手术细节及结果。
单病例报告。
一只3.5月龄的雄性未绝育混血犬,有前肢跛行和爪部畸形。
对一只患有先天性肢体畸形的犬进行手术,包括切除多余的骨骼和软组织结构,以防止剩余掌骨进一步半脱位。固定包括一枚加压皮质骨螺钉和一根穿过近端掌骨的克氏针。
术后X线片显示植入物位置合适,近端掌骨排复位良好。六周时,犬的肢体功能和负重有所改善。十二周时出现主要并发症,需要进行取出植入物的翻修手术。六个月时,犬的活动范围接近正常,无跛行。
对患有肢体畸形的犬进行手术的决定产生了几乎正常的步态,且该犬在日常生活中未出现异常。本报告通过描述犬类物种中缺指和多指畸形的组合,包括手术方法和结果,丰富了先天性肢体畸形的文献资料。然而,目前尚不清楚这种异质性疾病的最佳治疗方法。