Roush James K
Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS 66506, USA.
Vet Clin North Am Small Anim Pract. 2005 Sep;35(5):1137-54, vi. doi: 10.1016/j.cvsm.2005.06.001.
Fracture repair in small animals has arrived at a crossroads because of advances in fracture repair and client demands. Research into bone healing and repair techniques, collective professional experience,economics, and client demands are obligating veterinarians to greater expertise in the actual act of repairing fractures. The influx of surgery specialists into burgeoning private practices has improved access to specialty service beyond what the limited number of academic practices could previously provide and has raised the local standard of practice for orthopedic surgery at the same time. The necessity to deal with the preoperative and postoperative management of traumatized small animals by the general practitioner has not changed, however. Treatment of the small animal patient with a fractured bone does involve accurate definition of the fracture, selection of an appropriate method of fracture fixation from the variety of devices available, and correct application of the fixation. Far more than these, however, it involves assessment and treatment of the traumatized patient as a whole,including preanesthetic evaluation of critical body systems, preoperative preparation of the patient and client, and postoperative management of the repaired fracture and patient.
由于骨折修复技术的进步和客户需求，小动物骨折修复已到了一个关键节点。对骨愈合和修复技术的研究、专业人员的集体经验、经济因素以及客户需求，都要求兽医在骨折修复实际操作方面具备更高的专业知识。外科专家涌入蓬勃发展的私人诊所，使得获得专科服务的机会增加，这是以往数量有限的学术机构所无法提供的，同时也提高了当地骨科手术的执业标准。然而，全科医生处理受伤小动物术前和术后管理的必要性并未改变。治疗骨折的小动物患者确实需要准确界定骨折情况，从各种可用的器械中选择合适的骨折固定方法，并正确应用固定措施。然而，这远不止于此，它还涉及对受伤患者整体的评估和治疗，包括对关键身体系统的麻醉前评估、患者和客户的术前准备，以及骨折修复后的骨折和患者的术后管理。
