Hg. Schmokel et G. Ehrismann, CORRECTION OF AN ELBOW DYSPLASIA BY ULNAO STECTOMY AND AN EXTERNAL FIXATOR WITH THREADED CONNECTING BARS IN A DOG, Wiener Tierarztliche Monatschrift, 83(8), 1996, pp. 238-241
In a seven months old German Shepherd dog an elbow dysplasia was diagn
osed with a step between the radius and the coronoid processes of the
ulna, a sclerosis of the trochlear notch because of an overloading of
the medial coronoid process and a subluxation of the ulna. A midshaft
ulnaostectomy was performed and stabilised with an external fixator wi
th threaded connecting bars. Using the thread the ostectomy was narrow
ed to correct the step in the elbow joint. With this manoeuvre the for
ces on the overloaded cartilage of the medial coronoid process and the
medial humerus can be shifted to the radiohumeral joint to promote he
aling. The subluxation in this case was corrected and the lameness dis
appeard, while the degenerative joint disease did not progress. It is
discussed, wether the technique described herein can be recommended in
cases with a fragmented medial coronoid process (FMCP) for treatment,
combining the curettage of the joint during an arthrotomy and an ulna
ostectomy with an external fixateur with threaded connecting bars.