Seaman Jeffrey A, Simpson Amelia M
Oradell Animal Hospital, Paramus, NJ 07652, USA.
Clin Tech Small Anim Pract. 2004 Aug;19(3):151-67. doi: 10.1053/j.ctsap.2004.09.007.
Tibial fractures are common in small animal practice. As with other appendicular fractures, the patient's age, fracture location, and fracture type must be considered thoroughly. While methods for tibial fracture repair are similar to those used for appendicular fractures elsewhere, there are some unique considerations, both anatomically and functionally, that must be contemplated before repair. The following article will review the incidence of tibial fractures, tibial fracture types, and options for tibial fracture management and treatment. The use of external fixators, orthopedic bone plates, open reduction with internal fixation (ORIF), and external coaptation will be discussed. An emphasis will be placed on the most common types of tibial fractures, as well as those best suited for repair by general practitioners of veterinary medicine. Three case based examples will follow the overview.
胫骨骨折在小动物临床实践中很常见。与其他四肢骨折一样,必须全面考虑患者的年龄、骨折部位和骨折类型。虽然胫骨骨折修复方法与其他部位四肢骨折的修复方法相似,但在修复前必须从解剖学和功能学角度考虑一些独特的因素。以下文章将回顾胫骨骨折的发生率、胫骨骨折类型以及胫骨骨折管理和治疗的选择。还将讨论外固定器、骨科接骨板、切开复位内固定(ORIF)和外部固定的使用。重点将放在最常见的胫骨骨折类型以及最适合兽医全科医生修复的类型上。概述之后将有三个基于病例的例子。