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牛的下颌骨近段骨折的外部复位。

External coaptation of rostral mandibular fractures in calves.

机构信息

Department of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, Japan.

出版信息

Vet Rec. 2012 Jun 9;170(23):598. doi: 10.1136/vr.100606. Epub 2012 May 1.

Abstract

Six cases of rostral mandibular fracture with considerable displacement were treated successfully by external coaptation. Four cases were simple and two were compound fractures. After xylazine sedation and manual reduction of the fractures, the casting tape was laminated to make a rigid splint below the mandibles and then the splint was secured using the casting tape passing the nasal bridge and cranial and/or caudal to the ears as it encircled the head. During application of the tape, a PVC pipe 25 mm in diameter was held in its jaws to keep the mouth open so that the calf could suckle. Simple rostral mandibular fractures were cured after two weeks of cast immobilisation and compound fractures after about three weeks. This method is easy and non-stressful and provided a good prognosis in the present cases.

摘要

六例严重移位的下颌骨前段骨折通过外固定成功治疗。四例为单纯性骨折,两例为复合性骨折。在使用二甲苯胺噻嗪镇静和手动复位骨折后,将铸型带分层制成下颌骨下方的刚性夹板,然后使用穿过鼻桥和颅底及/或耳后的铸型带环绕头部来固定夹板。在应用胶带时,将直径为 25 毫米的 PVC 管放入其钳口中以保持口腔张开,以便小牛可以吸吮。单纯性下颌骨前段骨折在两周的石膏固定后治愈,而复合性骨折则在大约三周后治愈。这种方法简单且无压力,在目前的病例中提供了良好的预后。

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