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在八只犬中使用弹性髓内棒固定股骨干骨折

Use of flexible intramedullary rods for fixation of femoral fractures in eight dogs.

作者信息

Church E M, Schrader S C

机构信息

Department of Surgery, Animal Medical Center, New York, NY 10021.

出版信息

J Am Vet Med Assoc. 1990 Jan 1;196(1):71-6.

PMID:2295556
Abstract

High-density, polysulfone rods were used to repair 4 comminuted and 4 short-oblique, mid-diaphyseal femoral fractures in 8 dogs. Bony union was achieved in 2 dogs at 10 and 12 weeks after surgery. In one dog, the femoral fracture was healing when amputation of the limb became necessary because of sciatic nerve damage secondary to an ipsilateral pelvic fracture. In a fourth dog, fracture repair resulted in nonunion, despite normal clinical function at 18 months after surgery. In the remaining 4 dogs (50%), the rods failed at 3.5, 4, 6, and 22 weeks after surgery. These fractures were then stabilized by use of other methods. Although several factors may have contributed to failure of the rods, multiple autoclaving of the thermoplastic implants may have caused embrittlement and subsequent breakage.

摘要

使用高密度聚砜棒修复8只犬的4处粉碎性和4处短斜形股骨干中段骨折。2只犬在术后10周和12周实现了骨愈合。1只犬因同侧骨盆骨折继发坐骨神经损伤,在必须截肢时股骨骨折正在愈合。第4只犬尽管术后18个月临床功能正常,但骨折修复仍导致骨不连。其余4只犬(50%)的棒材在术后3.5周、4周、6周和22周失效。然后用其他方法稳定这些骨折。尽管有几个因素可能导致棒材失效,但热塑性植入物的多次高压灭菌可能导致脆化并随后断裂。

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