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25只犬前臂和小腿骨折的环形外骨骼固定稳定术

Circular external skeletal fixation stabilization of antebrachial and crural fractures in 25 dogs.

作者信息

Anderson Gregory M, Lewis Daniel D, Radasch Robert M, Marcellin-Little Denis J, Degna Matteo Tommasini, Cross Alan R

机构信息

Center for Veterinary Sports Medicine and the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Box 100126, Gainesville, Florida 32610-0126, USA.

出版信息

J Am Anim Hosp Assoc. 2003 Sep-Oct;39(5):479-98. doi: 10.5326/0390479.

DOI:10.5326/0390479
PMID:14518657
Abstract

Fracture stabilization using circular external skeletal fixation was evaluated in 14 dogs with antebrachial fractures and 11 dogs with crural fractures. Most dogs were consistently weight bearing on the stabilized limb by 3 days following surgery. Although all dogs developed minor wire/pin tract inflammation and eight dogs developed major wire/pin tract inflammation, postoperative lameness was not consistently associated with wire/pin tract complications. Fractures in 23 dogs achieved radiographic union (mean +/- standard deviation [SD], 61 +/- 21 days; median, 57 days) without additional surgery; two dogs required restabilization of their fractures with linear fixators. Twenty of the 21 owners that could be contacted felt their dog had no (n=15) or only a mild (n=5) intermittent lameness at the time of final, long-term (mean +/- SD, 37 +/- 17 months; median, 42 months) assessment.

摘要

对14只患有前臂骨折的犬和11只患有小腿骨折的犬进行了使用环形外骨骼固定术的骨折固定评估。大多数犬在术后3天时稳定肢体就能持续负重。尽管所有犬都出现了轻微的钢丝/针道炎症,8只犬出现了严重的钢丝/针道炎症,但术后跛行与钢丝/针道并发症并无始终一致的关联。23只犬的骨折实现了影像学愈合(平均±标准差[SD],61±21天;中位数,57天),无需额外手术;2只犬需要使用线性固定器对骨折进行再次固定。在可联系到的21位犬主中,有20位觉得他们的犬在最终的长期(平均±标准差,37±17个月;中位数,42个月)评估时没有(n = 15)或仅有轻微的(n = 5)间歇性跛行。

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