Prassinos N N
Clinic of Surgery, Veterinary School, University of Thessaly, Karditsa, Greece.
Vet Comp Orthop Traumatol. 2006;19(3):184-6.
A 5-month-old German shepherd dog with a combination of a proximal radial physeal fracture and a proximal ulnar diaphyseal comminuted fracture, with cranial displacement of their distal fragment, was presented. This fractures combination resembles type I Monteggia fracture. After surgical reduction of the fractures, three full-cerclage wires were used to stabilize the ulnar fracture, and two positional screws were placed across the radius and ulna immediately distally to the growth plate to hold these bones in apposition. Four weeks post-operatively, the screws were removed since sufficient callus had been formed and the dog was free of lameness. It seems that if the appropriate conditions for a type I Monteggia fracture develop in an immature dog, proximal radial physeal fracture instead of radial head luxation may accompany ulnar diaphyseal fracture.
一只5个月大的德国牧羊犬，出现了桡骨近端骨骺骨折和尺骨近端骨干粉碎性骨折，并伴有远端骨折块向头侧移位，这种骨折组合类似于I型孟氏骨折。骨折手术复位后，使用三根全环扎钢丝固定尺骨骨折，在生长板远侧立即穿过桡骨和尺骨放置两枚定位螺钉，使这些骨头对位。术后四周，由于已形成足够的骨痂且犬无跛行，故取出螺钉。似乎在未成熟犬中，如果出现I型孟氏骨折的合适条件，尺骨干骨折可能会伴有桡骨近端骨骺骨折而非桡骨头脱位。
