Vallone Luc, Schulz Kurt
Peak Veterinary Referral Center, Williston, VT 05495, USA.
Vet Surg. 2011 Aug;40(6):734-7. doi: 10.1111/j.1532-950X.2011.00848.x. Epub 2011 Jul 19.
To report the outcome after treatment of Monteggia fractures (MF) using a novel surgical technique.
Clinical reports.
One dog and 1 cat were treated for MF by use of a Tightrope suture, toggle, and button implant. In both patients the fracture/luxations were reduced using an open technique and the tightrope was placed using a cannulated drill system and guide wire from cranial to caudal. Cases were retrospectively reviewed at 1, 5, and 8 weeks (cat) and at 4 weeks and 4 months (dog) for complications and outcome. Outcomes were measured by subjective assessment of range of motion comparing affected to unaffected limbs, and lameness scoring and by client description of function.
Both animals returned to normal function with range of motion close to that of the unaffected limb. No complications were recognized.
Tightrope repair of MF resulted in excellent clinical results with no complications.
报告采用一种新型手术技术治疗孟氏骨折（MF）后的结果。
临床报告。
使用Tightrope缝线、肘节和纽扣植入物治疗1只犬和1只猫的孟氏骨折。在这两个病例中，均采用开放技术对骨折/脱位进行复位，并使用空心钻系统和导丝从颅侧向尾侧放置Tightrope。在术后1周、5周和8周（猫）以及4周和4个月（犬）对病例进行回顾性评估，以观察并发症和治疗结果。通过主观评估患侧与未患侧肢体的活动范围、跛行评分以及主人对功能的描述来衡量治疗结果。
两只动物均恢复到正常功能，活动范围接近未患侧肢体。未发现并发症。
孟氏骨折的Tightrope修复术取得了优异的临床效果，且无并发症发生。
