Kuemmerle Jan M, Fürst Anton E
Vetsuisse Faculty, Equine Hospital, University of Zurich, Zurich, Switzerland.
Vet Surg. 2011 Jul;40(5):631-5. doi: 10.1111/j.1532-950X.2011.00837.x. Epub 2011 Apr 26.
To report open reduction and joint stabilization using a prosthetic capsule technique for treatment of a craniodorsal coxofemoral luxation in a lightweight pony.
Clinical report.
Pony stallion (8 years old, 113 kg).
A craniodorsal approach to the coxofemoral joint was performed under general anesthesia. After open reduction, a prosthetic capsule technique was used. Four 3.5 mm self-tapping cortical anchor screws were implanted: 2 screws were inserted above the cranial aspect of the dorsal acetabular rim, and 2 screws were inserted into the femoral neck. Subsequently, a #5 USP ultra-high molecular weight polyethylene suture was placed through these anchor screws in figure-8 fashion to serve as a prosthetic capsule. Routine closure and a medial patellar desmotomy completed the surgical procedure. Postoperatively, the pony was cross tied for 4 weeks to prevent it from lying down.
Neither short-term nor long-term complications occurred and the pony was sound at the follow-up examination performed 15 months postoperatively.
A prosthetic capsule technique can be used successfully to stabilize the coxofemoral joint after open reduction of a craniodorsal luxation in a lightweight pony.
报告采用假体囊技术进行切开复位和关节稳定术治疗一匹轻型矮种马的颅背侧髋白脱位。
临床报告。
雄性矮种马（8岁，113千克）。
在全身麻醉下对髋白关节采用颅背侧入路。切开复位后，采用假体囊技术。植入4枚3.5毫米自攻皮质骨锚钉：2枚螺钉插入髋臼背侧缘头侧上方，2枚螺钉插入股骨颈。随后，用一根5号美国药典超高分子量聚乙烯缝线以8字方式穿过这些锚钉，作为假体囊。常规缝合和内侧髌腱切断术完成手术过程。术后，将矮种马交叉系住4周以防止其躺下。
未发生短期或长期并发症，在术后15个月进行的随访检查中，矮种马状况良好。
假体囊技术可成功用于轻型矮种马颅背侧脱位切开复位后稳定髋白关节。
