Management of Elbow Luxation in Dogs and Cats: An Overview

Document Type : Original Article

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Abstract

Luxation of the elbow has been frequently reported in dogs and cats. It can occur in several
forms lateral, medial, caudal luxation or Monteggia fracture. Several methods have been
used for management of elbow luxation including closed or open reduction in combination
with temporary joint immobilization. The later can be achieved via external coaptation,
trans-articular pinning of external skeletal fixation. Although external coaptation is easy to
apply and noninvasive, re-luxation, pressure sore, and decreased range of joint motion are
the most reported complications. Transarticular pinning technique is simple based on
fixation of the olecranon to the distal third of the humeral body. But it’s invasive, requires
excessive soft tissue dissection, and a second surgery for its removal. Transarticular
external skeletal fixation can be applied to the elbow in the form of rigid, hinged, or elastic
fixation. Such technique is minimally invasive, allow easy access to skin wounds, and most
of the fixation devices maintained outside the body. However, pin tract infection,
premature pin losing and/or breakage, and bone fracture are the most common associated
complications. This report reviews current fixation techniques used for stabilization of the
elbow and highlights the advantages and disadvantages of each technique.  

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