Sunday 23 February 2014

FRACTURE PELVIC


Pelvic fracture almost case see in veterinar practice, their come with many condition fracture,someting the cat or dog involve three bone fracture, but pelvic fracture condition most comon case
  
Surgical approches
Surgycal of the pelvic can be dificult, there is heavy musculetal covering the bone, so for fix the bone fracture pelvic must be trorough of all knowledge of all anatomy before approaching to do pelvis surgically


Ventral-dorsal radiograph of a dog pelvis sacroiliac separation

Radiograph,the result of reduction and fixation of sacroiliac separation using one  screws
PROGNOSIS

Normaly the prognosis fragture at all bone depending condition and complication  as when the animal get the injuries, sometime very exelent..sometime very poor. The Most complications accompanying pelvic fractures relate to soft tissues in the vicinity. Problems with associated nervous, vascular, bowel, or urethral structures are more common than primary bone problems. Most of these problems occur as a result of the fracture, not as a result of poor fixation; therefore, they must be properly evaluated in the preoperative patient.
A common complication of acetabular fracture is mild to moderate degenerative joint disease. It must be anticipated. Medical management of this problem is usually gratifying.

Pelvic fractures that eventually unite in severely abnormal positions may seriously compromise the pelvic inlet or outlet, resulting in difficulty in defecating or undergoing normal parturition. This problem is more commonly associated with feline pelvic fractures. If surgical correction is required, symphysectomy is necessary, using an insert to enlarge the diameter of the pelvic canal. Good results have been reported using this technique

by. Jeffry Wahyudi, DVM

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