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使用线性-环形混合外骨骼固定器治疗犬猫的肱骨和股骨骨折

Management of humeral and femoral fractures in dogs and cats with linear- circular hybrid external skeletal fixators.

作者信息

Kirkby Kristin A, Lewis Daniel D, Lafuente M Pilar, Radasch Robert M, Fitzpatrick Noel, Farese James P, Wheeler Jason L, Hernandez Jorge A

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Avenue, Gainesville, Florida 32610, USA.

出版信息

J Am Anim Hosp Assoc. 2008 Jul-Aug;44(4):180-97. doi: 10.5326/0440180.

Abstract

Linear-circular hybrid fixators were used to stabilize humeral and femoral fractures in 21 dogs and five cats. Twenty-two of 24 fractures with sufficient follow-up radiographic evaluation obtained union. Time to radiographic union ranged from 25 to 280 days (mean +/- standard deviation [SD] 110+/-69 days; median 98 days). Eleven animals developed minor and two dogs developed major pin and/or wire tract inflammation. Functional outcome was rated as excellent (n=16), good (n=5), and fair (n=3) at the time of final long-term assessment (range 4.5 to 60.0 months; mean +/- SD 28.4+/-15.4 months; median 28.5 months). Follow-up information was unavailable for two animals. Hybrid fixators were useful constructs for stabilization of humeral and femoral fractures, particularly fractures with short, juxta-articular fracture segments.

摘要

采用线性-环形混合固定器对21只犬和5只猫的肱骨和股骨骨折进行固定。在24例获得充分随访X线评估的骨折中,22例实现了骨愈合。X线显示骨愈合的时间为25至280天(平均±标准差[SD]110±69天;中位数98天)。11只动物出现轻微的,2只犬出现严重的钢针和/或钢丝通道炎症。在最终长期评估时(时间范围4.5至60.0个月;平均±标准差28.4±15.4个月;中位数28.5个月),功能结果评定为优秀(n = 16)、良好(n = 5)和一般(n = 3)。有2只动物没有随访信息。混合固定器是稳定肱骨和股骨骨折,特别是伴有短的、近关节骨折段骨折的有效固定器械。

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