OPERACIJSKO LIJEČENJE FRAKTURA ZDJELICE U PASA

master's thesis

• Title (english): SURGICAL TREATMENT OF PELVIC FRACTURES IN DOGS
• Author: Martina Drašić
• Mentor: Andrija Musulin (mentor)
• Mentor: Petar Kostešić (mentor)
• Committee member: Dražen Vnuk (predsjednik povjerenstva)
• Committee member: Andrija Musulin (član povjerenstva)
• Committee member: Petar Kostešić (član povjerenstva)
• Committee member: Darko Capak (član povjerenstva)
• Granter: University of Zagreb; Faculty of Veterinary Medicine; Zagreb
• Defense date and country: 2021-10, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Veterinary Medicine; Veterinary Clinical Sciences

Abstract

Cilj ovog diplomskog rada bio je opisati najčešće postupke operacijskog liječenja lomova
zdjelice u pasa. Procjenjuje se da lomovi zdjelice predstavljaju 25 % svih lomova u pasa.
Lomovi zdjelice nastaju uslijed opsežne traume, a najčešće zbog udara automobila. Osim
lomova, često su prisutne i druge ozljede poput traume prsnog koša, mokraćnog sustava te
oštećenje perifernih živaca. S obzirom na anatomsku regiju, lomovi zdjelice dijele se na
sakroilijačnu luksaciju/lom, lom krila crijevne kosti, lom tijela crijevne kosti, lom acetabuluma,
lom sjedne kosti i lom zdjeličnog dna. Dijagnoza se temelji na RTG pretrazi. Liječenje lomova
zdjelice može biti konzervativno ili kirurško. Većina lomova zdjelice liječi se konzervativno,
što podrazumijeva restrikciju kretanja, odmor i određenu analgetsku terapiju. Oko 25 % lomova
zahtijeva kirurško liječenje, a to su najčešće lomovi križne kosti ili sakroilijačna luksacija,
lomovi tijela crijevne kosti i lomovi acetabuluma. Kirurško liječenje temelji se na redukciji i
stabilizaciji loma. Od raznih implantata što se koriste prilikom kirurškog zahvata,
najuspješnijima za željeni ishod pokazali su se vijci i rekonstrukcijske pločice. Za prihvatljiv
ishod operacijskog zahvata neophodna je savršena anatomska pozicija, stabilna fiksacija i rana
pokretljivost. Poslijeoperacijska skrb obuhvaća analgetsku terapiju, ograničenje aktivnosti i
kontrolnu RTG pretragu u roku 6–8 tjedana nakon operacije.

Abstract (english)

The aim of this thesis was to describe the most common surgical procedures for pelvic fractures
in dogs. Pelvic fractures are estimated to account for 25% of all fractures in dogs. Pelvic
fractures are caused by extensive trauma, most often due to a car crash. In addition to fractures,
other injuries such as chest trauma, urinary tract and peripheral nerve damage are often present.
Depending on the anatomical region, pelvic fractures are divided into sacroiliac
fracture/luxation, ilial wing fracture, ilial body fracture, acetabular fracture, ischial fracture and
pelvic floor fracture. Diagnosis is based on X-ray examination. Treatment of pelvic fractures
can be conservative or surgical. Most pelvic fractures are treated conservatively, which involves
restriction of movement, rest, and certain analgesic therapy. About 25% of fractures require
surgical treatment, and these are most often sacral fractures or sacroiliac luxation, ilial body
fractures and acetabular fractures. Surgical treatment is based on reduction and stabilization.
Of the various implants used in surgery, screws and reconstruction plates proved to be the most
successful for the desired outcome. An acceptable anatomical position, stable fixation and early
mobility are necessary for an acceptable outcome of the operation. Postoperative care includes
analgesic therapy, activity limitation, and follow-up X-ray examination within 6 to 8 weeks
after surgery.

• Keywords: lomovi zdjelice; pas; vijci; rekonstrukcijske pločice; analgetska terapija; RTG.
• Keywords (english): pelvic fractures; dog; screws; reconstruction plates; analgesic therapy; X-ray
• Language: croatian
• URN:NBN: urn:nbn:hr:178:617328
• Study programme: Title: Veterinary Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica veterinarske medicine (doktor/doktorica veterinarske medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-10-19 08:32:49