Efficacy of Modified Toggle Splint with Nylon Suture for ‎‎Stabilization of Coxofemoral ‎Luxation in Dogs

Main Article Content

Mina Q AL-Samarrai
Hameed A AL-Timmemi

Abstract





Coxofemoral luxation is a common orthopedic lesion in dogs. This study aimed to evaluate ‎the effectiveness of a modified toggle splint with nylon suture as a prosthetic teres ligament ‎for reducing and fixing coxofemoral luxation in dogs. Five adult mongrel dogs weighing ‎‎15±2 kg were used in this experimental study. The toggle splint was fabricated from a ‎Steinmann pin (1cm length, 2mm diameter) by drilling 0.5 mm hole in the center. ‎Stabilization of coxofemoral joint was performed by a modified Toggle splint technique. A ‎tunnel, from the major trochanter through the fovea capitis to the acetabulum, was ‎performed in which the toggle splint was passed through, and nylon suture was used for ‎fixation. Dogs were scored for lameness severity at 0-, 14-and 42-day post-operation using a ‎numerical rating scale (NRS) with 5 levels, and reductions were assessed radiographically ‎at three-time points the day of operation, day 28th, and day 42nd. The results showed that the ‎treatment splint was effective in achieving good reduction and fixation in four out of five ‎‎(80%) dogs at all time points. Reluxation was observed only in one dog (20%) up to week 6 ‎post-operation. The mean lameness score on day 14 (2.0±0.87) and 42 (0.60±0.60) were ‎significantly lower (P<0.001) compared to day 0. These results indicate that the modified ‎toggle splint with nylon suture is a promising treatment option for canine coxofemoral ‎luxation.





Downloads

Download data is not yet available.

Article Details

How to Cite
Efficacy of Modified Toggle Splint with Nylon Suture for ‎‎Stabilization of Coxofemoral ‎Luxation in Dogs. (2023). The Iraqi Journal of Veterinary Medicine, 47(2), 44-49. https://doi.org/10.30539/ijvm.v47i2.1457
Section
Articles

How to Cite

Efficacy of Modified Toggle Splint with Nylon Suture for ‎‎Stabilization of Coxofemoral ‎Luxation in Dogs. (2023). The Iraqi Journal of Veterinary Medicine, 47(2), 44-49. https://doi.org/10.30539/ijvm.v47i2.1457

References

reduction. Can Vet J. 2005; ‎‎46(4): 368.‎

Bone DL, Walker M, Cantwell HD. Traumatic coxofemoral luxation in dogs results of ‎repair. Vet Surg. 1984;13(4):263-270. 10.1111/j.1532-950X.1984.tb00807.x

Demko JL, Sidaway BK, Thieman KM, Fox DB, Boyle CR, McLaughlin RM. Toggle rod ‎stabilization for treatment of hip joint luxation in dogs: 62 cases (2000–2005). J Am Vet ‎Med Assoc. 2006;229(6):984-989. 10.2460/javma.229.6.984

Abed RA, Nazht HH, Omar RA. Limb Gait Score of Femur Fracture Fixated by ‎Intramedullary Splintning in Dogs. Arch Razi Inst. 2022;77(3):1027-1032. 10.22092/ari.2022.357386.2026

Nazht HH, Abduljabbar Imran H, Omar RA. Physical, Chemical, and Mechanical Evaluation ‎of irradiated xeno-sheep bony implantation by low-level laser therapy of long bones ‎fractures in rabbits. Arch Razi Inst. 2021; 76(5): 1445-1451. 10.22092/ari.2021.356310.1818

Thanoon MG, Eesa MJ, Alkenanny ER. Histopathological evaluation of the platelets rich ‎fibrin and bone marrow on healing of experimental induced distal radial fracture in local ‎dogs. Iraqi J Vet Med. 2019;43(1):11-20. 10.30539/iraqijvm.v43i1.465

Omar RA, Saleh SI. Study of low power laser effect on the healing of tibial fracture ‎treated by intramedullary pin in rabbits. Iraqi J Vet Med. 2013;27(1):99–108. 10.30539/ijvm.v27i1.1100

Ash K, Rosselli D, Danielski A, Farrell M, Hamilton M, Fitzpatrick N. Correction of ‎craniodorsal coxofemoral luxation in cats and small breed dogs using a modified ‎Knowles technique with the braided polyblend TightRope™ systems. Vet Comp Orthop ‎Traumatol. 2012;25(01):54–60. 10.3415/VCOT-11-02-0019

Pozzi A, Kowaleski MP, Dyce J, Johnson KA. Treatment of traumatic coxo-femoral luxation ‎by cemented total hip arthroplasty. Vet Comp Orthop Traumatol. ‎‎2004;17(04):198-203. 10.1055/s-0038-1632820

Fossum TW. Small Animal Surgery Textbook, Mosby Co., St. Louis, Missouri. 2007:515-520.‎

Cetinkaya MA, Olcay B. Modified Knowles toggle splint technique with nylon ‎monofilament suture material for treatment of two caudoventral hip luxation cases.‎ Vet Comp Orthop Traumatol. 2010;23(02):114-118. 10.3415/VCOT-09-03-0027

DeCamp CE. Brinker, Piermattei and Flo's Handbook of Small Animal Orthopedics and ‎Fracture Repair. Philadelphia: ‎Elsevier Health Sciences; 2015‎. 470 p.‎

Hõim R, Andrianov V, Lenzner A. Use of modified toggle splint technique for management ‎of coxofemoral luxations in dogs: A review of literature and a report of two cases. J Agr ‎Sci. 2003;14:203-208.‎

Kladakis S. Choosing sutures in small animal surgery. J Dairy Vet Anim Res. ‎‎2014;1(3):00015.‎ 10.15406/jdvar.2014.01.00015

Kumar A. Veterinary surgical techniques. Vikas Publishing House Pvt Ltd; 2001.‎

Piermattei DL, Johnson KA, ScienceDirect (Online service). An atlas of surgical approaches ‎the bones and joints of the dog and cat. Philadelphia: Saunders; 2004.‎

Arias SA, Blanco JR, Doretto JV, Vieira GL, Oliveira HP, Rezende CM. Modified ‎cementless total coxofemoral prosthesis: development, implantation and clinical ‎evaluation. Arq Bras Med Vet Zootec. 2013;65(16):1660-1672. 10.1590/S0102-09352013000600012

SAS Institute Inc. 2021–2022. JMP® 16 Documentation Library. Cary, NC: SAS Institute ‎Inc.‎

Knowles AT, Knowles JO, Knowles RP: An operation to preserve the continuity of the hip ‎joint. J Am Vet Med Assoc. 1953; 123: 508–515.‎

Duerr FM. Subjective Gait Evaluation. In: Duerr FM, editor. Canine Lameness. Hoboken, ‎NJ: Wiley Blackwell; p. 5-13.‎

Trostel CT, Fox DB. Coxofemoral joint luxation in dogs treated with toggle rod ‎stabilization: A multi-institutional retrospective review with client survey. J Am Anim ‎Hosp Assoc. 2020;56(2):83-91. 10.5326/JAAHA-MS-6937

Mathews ME, Barnhart MD. Risk factors for reluxation after toggle rod stabilization for ‎treatment of coxofemoral luxation in 128 dogs. Vet Surg. 2021; 50(1):142-149. 10.1111/vsu.13498

Jha S, Kowaleski MP. Mechanical analysis of twelve toggle suture constructs for ‎stabilization of coxofemoral luxations. Vet Surg. 2012;41(08):948-953. 10.1111/j.1532-950X.2012.01028.x

Flynn MF, Edmiston DN, Roe SC, Richardson DC, DeYoung DJ, Abrams CF Jr. ‎Biomechanical evaluation of a toggle splint technique for management of coxofemoral ‎luxation. Vet Surg. 1994; 23(5): 311-321. 10.1111/j.1532-950X.1994.tb00490.x

Glover PA, Basinger RR, Suber JT, Hulse D, Hosgood G. Frequency, predisposing factors ‎and mode of failure with a commercial toggle system, dorsal extracapsular ‎augmentation, or a combination of both procedures for repair of coxofemoral luxations: ‎‎53 cases (2004-2008). In: Proceedings of the 36th Annual Conference of the Veterinary ‎Orthopedic Society; 2009 Feb 28–Mar 6; Steamboat Springs, CO. Fort Collins (CO): ‎Veterinary Orthopedic Society; 2009. p. 54-55.‎

Kieves NR, Lotsikas PJ, Schulz KS, Canapp SO. Hip toggle stabilization using the ‎TightRope® system in 17 dogs: technique and long‐term outcome. Vet Surg. 2014;43(5):515-522. 10.1111/j.1532-950X.2014.12158.x ‎

Baltzer WI, Schulz KS, Stover SM, Taylor KT, Kass PH. Biomechanical analysis of suture ‎anchors and suture materials used for toggle splint stabilization of hip joint luxation in ‎dogs. Am J Vet Res. 2001;62(5):721-728. 10.2460/ajvr.2001.62.721

Schlag AN, Hayes GM, Taylor AQ, Kerwin SC, Dugat DR, Vitt MA, et al., Analysis of ‎outcomes following treatment of craniodorsal hip luxation with closed reduction and Ehmer ‎sling application in dogs. J Ame Vet Med Asso. 2019;254(12):1436-1440. 10.2460/javma.254.12.1436

Similar Articles

You may also start an advanced similarity search for this article.