UNIVERSITY OF MAIDUGURI

FACULTY OF VETERINARY MEDICINE

CLINICAL CONFERENCE PRESENTATION
FIRST SEMESTER 2022/2023 ACADEMIC SESSION

VCF691 (VETERINARY CLINICS AND FARM PRACTICE)

GROUP B
PRESENTERS:
16/10/01/105
16/10/01/112
16/10/01/115
16/10/01/116

TITLE:
A CASE OF OBLIQUE FRACTURE IN DISTAL 1/3 OF
THE RIGHT HUMERUS IN A 17 WEEKS OLD GOBBLER
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RESOURCE PERSONS
CLINICIAN:
DR. DAUDA LAKU

CLINICAL ADVISER:
• DR. ALI MUTAH

CONSULTANT:
PROF. PAUL BOKKO

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 INTRODUCTION
● BONE FRACTURE: is a break or Disruption in
continuity of the structure of Bone.
CLASSIFICATIONOF FRACTURE (on the basis of)
1. Etiology (Traumatic)
2. Displacement (Displaced)
3. Communication with external environment (Open)
4. Fracture morphology (Oblique)
5. Site of Fracture (Distal part of Humerus)

FRACTURE REDUCTION: is the restoration of the bone

fragments back to original alignment after
displacement. 3
 INTRODUCTION CONT.
METHODS OF REDUCTION
1. CLOSED REDUCTION: Closed reduction refers to
realigning bones without breaching the skin. It is
performed with manual manipulation.

2. OPEN REDUCTION: primarily refers to surgical

procedure that is performed to realign bones or fragments
and maintain the reduction.

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 CASE HISTORY

On the 19th of April, 2023, a client brought his Turkey to

the surgery unit of the Veterinary Teaching Hospital,
University of Maiduguri, with the chief complaint of
broken bone in the right wing of the distal portion of the
Humerus. History revealed that the turkey was
accidentally hit by car 4 hours prior to presentation.
There was a history of First aid by immobilising the
fracture Before presenting the turkey to the clinic.

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 SIGNALMENT

 Species: - Avian
 Breed: - Domestic Bronze Turkey
 Sex: - Male
 Age: - 17weeks
 Body weight: - 3.5 Kg
 Number in flocks: - 3
 Management System: Semi-intensive

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 VITAL PARAMETERS
PARAMETERS FINDINGS RANGE

TEMPERATURE 40OC (39O- 42OC)

RESPIRATORY 32 c/m (28 – 49 c/m)
PULSE RATE 68 bpm (160 – 175BPM)

BLOOD SAMPLE
PARAMETERS FINDINGS RANGE

PCV 32% (35 – 39%)

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 CLINICAL FINDINGS
 Broken skin with bone protrusion
 Swelling, bruising, and bleeding
 Numbness
 Pain
 DIAGNOSIS
OPEN OBLIQUE FRACTURE OF THE RIGHT
HUMERUS

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 MANAGEMENT PLAN
 Open Reduction Internal Fixation (ORIF) using
Cerclage wire
PLATE 1: Showing the patient on presentation
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 ANAESTHETIC PROTOCOL
● Ring block using 2% lignocaine (10mg/kg) was
infiltrated around the border of the Humerus.
 SURGICAL PROCEDURE
• The gobbler was positioned on left lateral recumbency.
• The surgical site was aseptically prepared using 0.3% w/v
chlorhexidine gluconate.
• The surgical site was draped.
• A hole was drilled on both the edges of the broken bone using
bone driller.
• Cerclage wire was inserted into the hole to reduce the fracture.
• The cerclage wire was knotted gently on to the bone and aligned
properly.

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 SUTURES AND SUTURE PATTERNS

● Musculature: Sutured with size 2 chromic catgut using

simple interrupted suture pattern.

● Skin: Sutured with size 2 chromic catgut suture material

using lambert suture pattern.
Plate 2: Draping 22
 A B

Plate 3: A; drilling of the bone. B; Cerclage wire insertion 21

 A B

Plate 4: A; Placement of Cerclage wire and B; bone reduction

 A B

Plate 5: A: closure of the musculature and B: Closure of the Skin

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 A B

Plate 6: A; Patient after surgery immediately and B; 7 days after.

Plate 7: Patient’s Radiograph at day 7 after surgery.
 POST OPERATIVE MEDICATION

Drugs/ Therapeutic
Dosage Dose Route/Duration
Concentration Category

Antibiotic 10mg/kg 0.035ml IM 5/7

AMOXICILLIN
(50mg/ml)

PIROXICAM Analgesic 0.2mg/kg 0.7ml IM 3/7

(20mg/ml)

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 PROGNOSIS
● GOOD
 ADVICE TO THE CLIENT
● The client was advised to Restrict movement of the patient
until healing is complete and hence was admitted for 2
weeks.
● Promptly present the patient to the hospital if any
abnormality is noticed with the patient especially during
the post-operative days.
● Be client should be cautious of his surrounding when
driving in and out.
● Proper management system should be practiced to forestall
future occurrence.
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Thank you for
listening

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