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灵长类动物桡骨和尺骨骨折的微创钢板接骨术

Minimally invasive plate osteosythesis of fractures of the radius and ulna in a primate.

作者信息

Tong K, Guiot L P

机构信息

Laurent Guiot, Doc.Méd.Vét, Diplomate ACVS, Diplomate ECVS, D208 Veterinary Medical Center, Michigan State University, East Lansing, MI 48824, United States, Phone: +1 517 353 5420, Fax: +1 517 355 5164, E-mail:

出版信息

Vet Comp Orthop Traumatol. 2013;26(5):416-20. doi: 10.3415/VCOT-12-10-0134. Epub 2013 May 27.

DOI:10.3415/VCOT-12-10-0134
PMID:23708981
Abstract

A 25-year-old female mandrill (Mandrillus sphinx - a primate and part of the Old World monkey group) was presented with a mildly comminuted, diaphyseal, radial fracture associated with a transverse ulnar fracture. Minimally invasive plate osteosynthesis techniques were used to achieve fixation of both the radial and the ulnar fractures. First, closed fracture reduction was achieved with a distraction frame consisting of a motorized circular external skeletal fixator. Next, dual percutaneous radio-ulnar plating was performed using a 2.7 limited-contact dynamic compression plate on the cranial aspect of the radius and two stacked 2.0/2.7 veterinary cut-to-length plates on the lateral aspect of the ulna. Uncomplicated recovery was observed with a complete return to normal activity three months postoperatively. Fracture healing was documented at four weeks, clinical union at 14 weeks, and callus remodelling at 24 weeks postoperatively. This report demonstrates the feasibility of minimally invasive plate osteosynthesis in a primate and shows the adaptability of this technique across mammalian species.

摘要

一只25岁的雌性山魈(山魈属——一种灵长类动物,属于旧世界猴类)出现了一处轻度粉碎性、骨干、桡骨骨折,同时伴有尺骨横行骨折。采用微创钢板接骨术对桡骨和尺骨骨折进行固定。首先,使用由电动环形外固定架组成的撑开架实现骨折闭合复位。接下来,在桡骨颅侧使用一块2.7有限接触动力加压钢板,在尺骨外侧使用两块堆叠的2.0/2.7兽医定制长度钢板进行双切口桡尺骨钢板固定。术后三个月观察到恢复过程顺利,完全恢复了正常活动。术后四周记录到骨折愈合,14周达到临床愈合,24周骨痂重塑。本报告证明了微创钢板接骨术在灵长类动物中的可行性,并显示了该技术在不同哺乳动物物种中的适应性。

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