www.IndianJournals.com Members Copy, Not for Commercial Sale Downloaded From IP - 14.139.210.245 on dated 11-Jun-2014 426 Introduction Among the long bones, femur is reported to be the most frequently fractured bone (Balagopalan et al., 1995 and Singh et al., 2011) in both dogs and cats (Maala and Celo, 1975; Johnson, 1994 and Aithal, 1999). The closeness of abdominal wall to the proximal femur and bulky surrounding musculature limit the use of co-aptation and external skeletal fixation for femoral fractures. On the other hand fracture of tibia and fibula are common in dogs and cats which is about 20% of all fractures (Johnson et al., 1989 and Richardson, 1993). The present paper describes successful management of bilateral fracture of femur and tibia in a Labrador pup. Case History and Diagnosis One four months old Labrador pup weighing six kilogram body weight was presented with history of falling from a height and unable to bear weight on its hind limbs. On C-arm examination, there was bilateral fracture i.e. simple complete oblique fracture of proximal 1/3 of left femur and simple complete transverse fracture of distal extremity of right tibia (Fig.1 and 2). So it was planned to go for C-arm guided intramedullary pinning along with external splintage (modified Thomas splint). Treatment The dog was kept fasting for 16 hours and under general anaesthesia with atropine sulphate @ Intas Polivet (2012) Vol. 13 (II): 426-428 Short Communication Intramedullary Pinning and Modified Thomas Splint Application for the Management of Bilateral Fracture of Femur and Tibia in a Pup Jayakrushna Das 1 , Sidhartha Sankar Behera 2 and Ananata Hembram 2 Department of Veterinary Surgery and Radiology College of Veterinary Science and Animal Husbandry Odisha University of Agriculture and Technology. Bhubaneswar - 751003 (Odisha). Abstract A Labrador pup with simple and complete fracture of femur and tibia was presented for treatment. The fracture sites were brought into close apposition and then immobilised by intramedullary pinning (internal fixation) along with modified Thomas splint in both the limbs. Initially the pup was kept inside the sling. After 22 days, thomas splint was removed and hot fomentation was continued till complete recovery. Keywords: Fracture; intramedullary pinning; thomas splint. 0.02mg/kg body weight, Xylaxine 1mg/kg body weight and Ketamine @ 5mg/kg body weight and aseptically prepared for orthopaedic surgery as per routine basis. For exposure of the femoral fractured diaphysis, lateral approach was choosen by incising the skin and fascia lata along the cranial boarder of the biceps femoris muscle, then cranial retraction of vastus lateralis and caudal retraction of the biceps femoris muscle were carried out (Fig. 3). Fractured fragments were cleaned and blood clots were removed. Retrograde pinning was done through the proximal femoral metaphysis and pin was directed to emerge from the craniolateral aspect of trochanteric fossa. Then the pin was fixed at the distal fractured fragment. Likewise for right tibial fracture, the pin was placed through the proximal end into distal fragment in normograde manner and in close pinning technique. All the procedures were done under C-arm examination. Then routine closure of muscle and skin was done (Fig.4 and 5). Finally both pins were checked for their position (Fig. 6 and 7). The extra portions of both the pins were cut and after bandaging, modified Thomas splintages were applied to both the limbs (Fig. 8 and 9). The patient owner was advised to keep the animal in sling as it is having splintage on both the sides. Post-operatively antibiotic injection of Ceftriaxone @ 10mg/kg body weight (Intacef a ) bid (I/V) for 6 days and inj. Meloxicam @ 0.2mg/kg body weight (Melonex a ) was administered I/M for 3 days. Along with these 1. Assistant Professor and Corresponding Author E-mail: drjohndasjajpur@yahoo.co.in 2. Post Graduate Scholar