O'Brien Thomas, Hunt Robert J
Fethard Equine Hospital, Fethard, Tipperary, Ireland.
Davidson Surgery Center, Hagyard Equine Medical Institute, 4250 Iron Works Pike, Lexington, KY 40511, USA.
Vet Clin North Am Equine Pract. 2014 Apr;30(1):221-37. doi: 10.1016/j.cveq.2013.11.006. Epub 2014 Jan 25.
In all surgeries with the patient standing under chemical and physical restraint, patient compliance is of the utmost importance. All fractures of the third metacarpal or metatarsal condyles and sagittal fracture of the first phalanx are not amenable to internal fixation with the horse standing, and young unhandled horses may not have a suitable disposition for standing surgical treatment of septic pedal osteitis, or implantation and removal of transphyseal screws. Previous operator experience in performing the procedure or technique under general anesthesia is beneficial. Appreciation of appropriate topographic anatomic landmarks is important, and intraoperative radiographic control is useful.
在所有患者处于化学和物理约束下站立进行的手术中，患者的配合至关重要。第三掌骨或跖骨髁的所有骨折以及第一指骨的矢状骨折，马匹站立时均不适于内固定，而且未经调教的年轻马匹可能没有适合站立手术治疗化脓性蹄骨炎、或植入和取出经骨骺螺钉的性情。术者先前在全身麻醉下进行该手术或技术的经验是有益的。了解适当的局部解剖标志很重要，术中放射学控制也很有用。
